Why laparoscopists may opt for three-dimensional view: a summary of the full HTA report on 3D versus 2D laparoscopy by S.I.C.E. (Società Italiana di Chirurgia Endoscopica e Nuove Tecnologie)

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Abstract

Background

Three-dimensional view in laparoscopic general, gynaecologic and urologic surgery is an efficient, safe and sustainable innovation. The present paper is an extract taken from a full health technology assessment report on three-dimensional vision technology compared with standard two-dimensional laparoscopic systems.

Methods

A health technology assessment approach was implemented in order to investigate all the economic, social, ethical and organisational implications related to the adoption of the innovative three-dimensional view. With the support of a multi-disciplinary team, composed of eight experts working in Italian hospitals and Universities, qualitative and quantitative data were collected, by means of literature evidence, validated questionnaire and self-reported interviews, applying a final MCDA quantitative approach, and considering the dimensions resulting from the EUnetHTA Core Model.

Results

From systematic search of literature, we retrieved the following studies: 9 on general surgery, 35 on gynaecology and urology, both concerning clinical setting. Considering simulated setting we included: 8 studies regarding pitfalls and drawbacks, 44 on teaching, 12 on surgeons’ confidence and comfort and 34 on surgeons’ performances. Three-dimensional laparoscopy was shown to have advantages for both the patients and the surgeons, and is confirmed to be a safe, efficacious and sustainable vision technology.

Conclusions

The objective of the present paper, under the patronage of Italian Society of Endoscopic Surgery, was achieved in that there has now been produced a scientific report, based on a HTA approach, that may be placed in the hands of surgeons and used to support the decision-making process of the health providers.

Electronic supplementary material

The online version of this article (10.1007/s00464-017-6006-y) contains supplementary material, which is available to authorized users.

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Most cited references 37

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Multiple criteria decision analysis for health technology assessment.

Alejandra Duenas, Praveen Thokala (2012)

Multicriteria decision analysis (MCDA) has been suggested by some researchers as a method to capture the benefits beyond quality adjusted life-years in a transparent and consistent manner. The objectives of this article were to analyze the possible application of MCDA approaches in health technology assessment and to describe their relative advantages and disadvantages. This article begins with an introduction to the most common types of MCDA models and a critical review of state-of-the-art methods for incorporating multiple criteria in health technology assessment. An overview of MCDA is provided and is compared against the current UK National Institute for Health and Clinical Excellence health technology appraisal process. A generic MCDA modeling approach is described, and the different MCDA modeling approaches are applied to a hypothetical case study. A comparison of the different MCDA approaches is provided, and the generic issues that need consideration before the application of MCDA in health technology assessment are examined. There are general practical issues that might arise from using an MCDA approach, and it is suggested that appropriate care be taken to ensure the success of MCDA techniques in the appraisal process. Copyright © 2012 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

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Systematic review of laparoscopic surgery in low- and middle-income countries: benefits, challenges, and strategies.

Tiffany E Chao, Morgan Mandigo, Jessica Opoku-Anane … (2016)

Laparoscopy may prove feasible to address surgical needs in limited-resource settings. However, no aggregate data exist regarding the role of laparoscopy in low- and middle-income countries (LMICs). This study was designed to describe the issues facing laparoscopy in LMICs and to aggregate reported solutions.

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3D visualization reduces operating time when compared to high-definition 2D in laparoscopic liver resection: a case-matched study.

Vimalraj Velayutham, David Fuks, Takeo Nomi … (2016)

To evaluate the effect of three-dimensional (3D) visualization on operative performance during elective laparoscopic liver resection (LLR).

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Author and article information

Contributors

Nereo Vettoretto:

ORCID: http://orcid.org/0000-0002-7011-2804

+390309963288 , nereovet@gmail.com

Journal

Journal ID (nlm-ta): Surg Endosc

Journal ID (iso-abbrev): Surg Endosc

Title: Surgical Endoscopy

Publisher: Springer US (New York )

ISSN (Print): 0930-2794

ISSN (Electronic): 1432-2218

Publication date (Electronic): 24 January 2018

Publication date PMC-release: 24 January 2018

Publication date (Print): 2018

Volume: 32

Issue: 6

Pages: 2986-2993

Affiliations

[1 ]Montichiari Surgery, ASST degli Spedali Civili di Brescia, V.le Ciotti 154, 25018 Montichiari (BS), Italy

[2 ]ISNI 0000000122875009, GRID grid.449672.a, Centre for Health Economics, Social and Health Care Management, , LIUC-Università Carlo Cattaneo, ; Castellanza (VA), Italy

[3 ]ISNI 0000 0001 2336 6580, GRID grid.7605.4, Center for Minimal Invasive Surgery, , University of Turin School of Medicine, ; Turin, Italy

[4 ]ISNI 0000 0004 1757 3630, GRID grid.9027.c, General and Oncologic Surgery, , University of Perugia, ; Perugia, Italy

[5 ]General and Emergency Surgery, Azienda Ospedaliera Universitaria Policlinico P. Giaccone, Palermo, Italy

[6 ]ISNI 0000 0001 2178 8421, GRID grid.10438.3e, General and Oncologic Surgery, , University of Messina, ; Messina, Italy

[7 ]General Surgery, Ospedale Civile di Baggiovara, Modena, Italy

[8 ]General Surgery, Ospedale di Cittadella, Padova, Italy

[9 ]ISNI 0000000106678902, GRID grid.4527.4, IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, ; Milan, Italy

[10 ]Clinical Engineering, ASST Settelaghi, Varese, Italy

[11 ]Direzione Generale Welfare - Regione Lombardia, Mantova, Italy

[12 ]ISNI 0000 0004 1757 2064, GRID grid.8484.0, General and Thoracic Surgery, , University of Ferrara, ; Ferrara, Italy

[13 ]GRID grid.7841.a, General Surgery, , Sapienza University of Rome Polo Pontino, ; Latina (RM), Italy

[14 ]ISNI 0000 0004 1759 9494, GRID grid.24704.35, General, Emergency and Minimally Invasive Surgery, , Azienda Ospedaliera Universitaria Careggi Firenze, ; Firenze, Italy

[15 ]Deparment of Management, Economics and Industrial Engineering, Milan Politecnico, Milan, Italy

[16 ]ISNI 0000 0001 0775 6028, GRID grid.5371.0, Centre for Healthcare Improvement, , Chalmers University of Technology, ; Gothenburg, Sweden

Author information

Nereo Vettoretto http://orcid.org/0000-0002-7011-2804

Article

Publisher ID: 6006

DOI: 10.1007/s00464-017-6006-y

PMC ID: 5956063

PubMed ID: 29368286

SO-VID: f176531e-d90a-49e5-b5a6-f08dfa5c420b

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

History

Date received : 8 March 2017

Date accepted : 6 December 2017

Custom metadata

ScienceOpen disciplines: Surgery

Keywords: three-dimensional vision,laparoscopy,surgery,health technology assessment,systematic review

Data availability:

ScienceOpen disciplines: Surgery

Keywords: three-dimensional vision, laparoscopy, surgery, health technology assessment, systematic review

Why laparoscopists may opt for three-dimensional view: a summary of the full HTA report on 3D versus 2D laparoscopy by S.I.C.E. (Società Italiana di Chirurgia Endoscopica e Nuove Tecnologie)

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Abstract

Background

Methods

Results

Conclusions

Electronic supplementary material

Related collections

SICOT-J (Orthopedic surgery and traumatology)

Most cited references 37

Multiple criteria decision analysis for health technology assessment.

Systematic review of laparoscopic surgery in low- and middle-income countries: benefits, challenges, and strategies.

3D visualization reduces operating time when compared to high-definition 2D in laparoscopic liver resection: a case-matched study.

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