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A retrospective single-center study comparing clinical outcomes of 3-dimensional and 2-dimensional laparoscopic cholecystectomy in acute cholecystitis
Ann Hepatobiliary Pancreat Surg 2019 Nov;23(4):339-43
Published online November 30, 2019;  https://doi.org/10.14701/ahbps.2019.23.4.339
Copyright © 2019 Korean Association of Hepato-Biliary-Pancreatic Surgery.

Jong-Jin Yun, Eun-young Kim, Eun-Jung Ahn, Jeong-Ki Kim, Ji-Hye Choi, Jong-Min Park, and Sei Hyeog Park

Department of Surgery, National Medical Center, Seoul, Korea
Received September 16, 2019; Revised September 16, 2019; Accepted September 17, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Backgrounds/Aims: Laparoscopic cholecystectomy (LC) has become widely used and preferred standard treatment for gallbladder (GB) disease in many countries. In this study, we aimed to compare the overall clinical outcomes of 3-dimensional (3D) LC system with those of the 2D LC method.
Methods: We retrospectively analyzed patients who underwent LC for acute cholecystitis between January 2010 and March 2019 at the National Medical Center in Korea. We entered them into 3D LC (group A) and 2D LC (group B) groups. We used Olympus CLV-190 laparoscopic device with dual lenses, capable of displaying both 3D and 2D images. Postoperative variables considered for evaluating between-group differences in clinical outcomes included diet resumption period after surgery, postoperative hospital length-of-stay, outpatient department follow-up period, surgical time, and postoperative surgery-related complications (blood loss and open conversion).
Results: We analyzed 278 acute cholecystitis patients (Group A, n=116; Group B, n=162). Compared to group B, group A had a significantly reduced surgical time and postoperative hospital stay. Although underlying diseases and abdominal surgical history were more prevalent in the 3D LC group, no significant between-group differences in blood loss and open conversion rate were observed.
Conclusions: The 3D imaging system offered many advantages over 2D LC, including reduced surgical time and shorter postoperative hospital stay; therefore, it has significance in reducing hospital costs.
Keywords : 3D laparoscopic cholecystectomy; 2D laparoscopic cholecystectomy; Acute cholecystitis; Gallbladder

 

November 2019, 23 (4)