Safety and efficacy of three-dimensional versus two-dimensional endoscopy in otolaryngology surgery and training: A systematic review

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2024-05-12 DOI:10.1111/coa.14171

Yuxin Ban, Brendan Mcneely, Neil K. Chadha, Mark Felton

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引用次数: 0

Abstract

Objective

Three-dimensional (3D) endoscopy has been developed to provide depth perception to allow for improved visualisation during otolaryngology surgery. We conducted a systematic review to determine the surgical safety and efficacy of 3D endoscopy in comparison to two-dimensional (2D) endoscopy in performing otolaryngology procedures, and the role of 3D endoscopy as a training tool for novice otolaryngology surgeons.

Methods

Primary studies were identified through MEDLINE, Embase and Web of Science databases, which were searched for articles published through June 2022 that compared the outcomes of 2D and 3D endoscopy in otolaryngology surgical procedures or otolaryngology-relevant simulations. Candidate articles were independently reviewed by two authors.

Results

A total of 18 full-text articles met inclusion criteria for this study. In clinical trials (n = 8 studies, 362 subjects), there were no significant differences in performance time, intraoperative or postoperative complications with 3D endoscopes when compared to 2D. In simulation studies (n = 10 studies, 336 participants), 3D endoscopes demonstrated a decreased error rate (n = 5 studies) and shorter performance time (n = 3 studies). Studies also reported improved depth perception (n = 14 studies) and visualisation preference (n = 5 studies) with 3D over 2D systems. The 3D systems were found to have a shorter learning curve and better manoeuvrability among novice surgeons.

Conclusion

3D endoscopy showed equivalent safety and efficacy compared to 2D endoscopy in otolaryngology surgery. The improved depth perception and performance for novices using 3D endoscopes suggests the technology may be superior to 2D endoscopes as a training tool for otolaryngology surgeons.

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耳鼻喉科手术和培训中三维与二维内窥镜检查的安全性和有效性：系统综述。

目的：开发三维（3D）内窥镜是为了提供深度感知，以改善耳鼻喉科手术的可视化。我们进行了一项系统性研究，以确定三维内窥镜与二维内窥镜在耳鼻喉科手术中的安全性和有效性，以及三维内窥镜作为耳鼻喉科外科医生新手培训工具的作用：通过 MEDLINE、Embase 和 Web of Science 数据库检索 2022 年 6 月之前发表的、比较二维和三维内窥镜在耳鼻喉科手术或耳鼻喉科相关模拟中的效果的文章，确定主要研究。候选文章由两位作者独立审阅：共有 18 篇全文文章符合本研究的纳入标准。在临床试验（n = 8 项研究，362 名受试者）中，3D 内窥镜与 2D 内窥镜相比，在操作时间、术中或术后并发症方面没有显著差异。在模拟研究（n = 10 项研究，336 名参与者）中，3D 内窥镜显示出错误率降低（n = 5 项研究）和操作时间缩短（n = 3 项研究）。研究还显示，三维系统比二维系统的深度知觉（14 项研究）和可视化偏好（5 项研究）更佳。结论：在耳鼻喉科手术中，3D 内窥镜与 2D 内窥镜相比具有同等的安全性和有效性。结论：3D内窥镜在耳鼻喉科手术中的安全性和有效性与2D内窥镜相当，使用3D内窥镜的新手的深度知觉和操作性能得到改善，这表明该技术作为耳鼻喉科外科医生的培训工具可能优于2D内窥镜。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.