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      4K ultra HD technology reduces operative time and intraoperative blood loss in colorectal laparoscopic surgery

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          Abstract

          Background: HD systems are routinely used in laparoscopic surgery, 4K ultra HD monitors are mainly available within specialized, high-volume laparoscopic centers. The higher resolution of 4K ultra HD video could upgrade the surgical performance improving intraoperative and post-operative outcomes.

          Methods: We performed a retrospective comparative analysis of intraoperative parameters and post-operative outcomes in a cohort of patients operated on for elective laparoscopic procedures for colo-rectal cancer during two different time frames: 2017 procedures performed using the Visera Elite full HD technology (® Olympus America, Medical) and the 2018 procedures performed the Visera 4K Ultra HD System (® Olympus America, Medical).

          Results: There was a statistically significant reduction in operative time in patients operated on with the 4K ultra HD technology compared to HD technology (p < 0.05). Intraoperative blood loss was significantly reduced in patients operated in 2018 (p < 0.05). There were no statistically significant differences in complication rate and postoperative outcomes between the two groups.

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          Most cited references16

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          Low Ligation of Inferior Mesenteric Artery in Laparoscopic Anterior Resection for Rectal Cancer Reduces Genitourinary Dysfunction

          The aim of the present study was to compare the incidence of genitourinary (GU) dysfunction after elective laparoscopic low anterior rectal resection and total mesorectal excision (LAR + TME) with high or low ligation (LL) of the inferior mesenteric artery (IMA). Secondary aims included the incidence of anastomotic leakage and oncological outcomes.
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            Effect of positive end-expiratory pressure on pulmonary shunt and dynamic compliance during abdominal surgery

            General anaesthesia decreases pulmonary compliance and increases pulmonary shunt due to the development of atelectasis. The presence of capnoperitoneum during laparoscopic surgery may further decrease functional residual capacity, promoting an increased amount of atelectasis compared with laparotomy. The aim of this study was to evaluate the effects of different levels of positive end-expiratory pressure (PEEP) in both types of surgery and to investigate whether higher levels of PEEP should be used during laparoscopic surgery.
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              The effect on surgical skills of expert surgeons using 3D/HD and 2D/4K resolution monitors in laparoscopic phantom tasks

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                Author and article information

                Contributors
                Role: ConceptualizationRole: Formal AnalysisRole: SupervisionRole: Writing – Original Draft Preparation
                Role: ConceptualizationRole: ResourcesRole: ValidationRole: Writing – Original Draft Preparation
                Role: MethodologyRole: SupervisionRole: Writing – Review & Editing
                Role: Data CurationRole: Investigation
                Role: Data CurationRole: MethodologyRole: Supervision
                Role: ConceptualizationRole: Data CurationRole: Writing – Review & Editing
                Role: Data CurationRole: Formal AnalysisRole: Supervision
                Role: Formal AnalysisRole: InvestigationRole: Project AdministrationRole: ResourcesRole: SoftwareRole: Validation
                Role: Data CurationRole: VisualizationRole: Writing – Review & Editing
                Role: ConceptualizationRole: ValidationRole: Writing – Review & Editing
                Role: ConceptualizationRole: SupervisionRole: Writing – Review & Editing
                Journal
                F1000Res
                F1000Res
                F1000Research
                F1000Research
                F1000 Research Limited (London, UK )
                2046-1402
                11 February 2020
                2020
                : 9
                : 106
                Affiliations
                [1 ]General Surgery Department, Desio Hospital, ASST Monza, Desio, MB, Italy
                [2 ]General Surgery Residency Program, University of Milan, Milan, Italy
                [1 ]Colorectal Surgery, Infermi Hospital-Faenza, Faenza, Italy
                [1 ]Department of Surgery, S.I.C.OB. (Italian Society of Bariatric Surgery) Referral Center for Bariatric Surgery, San Donato Group, Policlinico San Marco, Bergamo, Italy
                Author notes

                No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Author information
                https://orcid.org/0000-0002-2508-1359
                https://orcid.org/0000-0001-9021-9521
                Article
                10.12688/f1000research.21297.1
                7400694
                4e5a3601-c3c6-460c-927d-7e1415270acb
                Copyright: © 2020 Mari GM et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 15 January 2020
                Funding
                The author(s) declared that no grants were involved in supporting this work.
                Categories
                Research Article
                Articles

                colorectal surgery,laparoscopy,4k full hd
                colorectal surgery, laparoscopy, 4k full hd

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