Universität zu Köln

Busshoff, Jana, Datta, Rabi R., Bruns, Thomas, Kleinert, Robert, Morgenstern, Bernd, Pfister, David, Chiapponi, Costanza ORCID: 0000-0002-4681-2835, Fuchs, Hans F., Thomas, Michael, Gietzelt, Caroline, Hedergott, Andrea, Moeller, Desdemona, Hellmich, Martin, Bruns, Christiane J., Stippel, Dirk L. and Wahba, Roger . Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial. Surg. Endosc.. NEW YORK: SPRINGER. ISSN 1432-2218

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Abstract

Background The use of 3D technique compared to high-resolution 2D-4K-display technique has been shown to optimize spatial orientation and surgical performance in laparoscopic surgery. Since women make up an increasing amount of medical students and surgeons, this study was designed to investigate whether one gender has a greater benefit from using a 3D compared to a 4K-display system. Methods In a randomized cross-over trial, the surgical performance of male and female medical students (MS), non-board certified surgeons (NBCS), and board certified surgeons (BCS) was compared using 3D- vs. 4K-display technique at a minimally invasive training parkour with multiple surgical tasks and repetitions. Results 128 participants (56 women, 72 men) were included. Overall parkour time in seconds was 3D vs. 4K for all women 770.7 +/- 31.9 vs. 1068.1 +/- 50.0 (p < 0.001) and all men 664.5 +/- 19.9 vs. 889.7 +/- 31.2 (p < 0.001). Regarding overall mistakes, participants tend to commit less mistakes while using the 3D-vision system, showing 10.2 +/- 1.1 vs. 13.3 +/- 1.3 (p = 0.005) for all women and 9.6 +/- 0.7 vs. 12.2 +/- 1.0 (p = 0.001) for all men. The benefit of using a 3D system, measured by the difference in seconds, was for women 297.3 +/- 41.8 (27.84%) vs. 225.2 +/- 23.3 (25.31%) for men (p = 0.005). This can be confirmed in the MS group with 327.6 +/- 65.5 (35.82%) vs. 249.8 +/- 33.7 (32.12%), p = 0.041 and in the NBCS group 359 +/- 52.4 (28.25%) vs. 198.2 +/- 54.2 (18.62%), p = 0.003. There was no significant difference in the BCS group. Conclusion 3D laparoscopic display technique optimizes surgical performance compared to the 2D-4K technique for both women and men. The greatest 3D benefit was found for women with less surgical experience. As a possible result of surgical education, this gender specific difference disappears with higher grade of experience. Using a 3D-vision system could facilitate surgical apprenticeship, especially for women.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Busshoff, Jana UNSPECIFIED UNSPECIFIED UNSPECIFIED Datta, Rabi R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Kleinert, Robert UNSPECIFIED UNSPECIFIED UNSPECIFIED Morgenstern, Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Chiapponi, Costanza UNSPECIFIED orcid.org/0000-0002-4681-2835 UNSPECIFIED Fuchs, Hans F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Thomas, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Gietzelt, Caroline UNSPECIFIED UNSPECIFIED UNSPECIFIED Hedergott, Andrea UNSPECIFIED UNSPECIFIED UNSPECIFIED Moeller, Desdemona UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, Christiane J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Stippel, Dirk L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wahba, Roger UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-571370
DOI:	10.1007/s00464-021-08785-4
Journal or Publication Title:	Surg. Endosc.
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-2218
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SEX-DIFFERENCES; 2-DIMENSIONAL 2D; 3-DIMENSIONAL 3D; WOMEN; SURGERY; SKILLS; ACQUISITION; SIMULATION; NOVICES; TASK Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57137