Abordaje laparoscópico 3D de la patología suprarrenal
ENG- Introduction: Laparoscopic adrenalectomy, introduced in the 1990s, replaced open surgery as the gold standard. While advantageous, 2D vision has limitations in depth perception, addressed by 3D systems. This study compares the safety and efficacy of 3D versus 2D systems in adrenal tumor surgery...
| Autor: | |
|---|---|
| Formato: | tesis doctoral |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Recursos: | CBUC, CESCA |
| Repositorio: | TDR. Tesis Doctorales en Red |
| OAI Identifier: | oai:www.tdx.cat:10803/694442 |
| Acesso em linha: | http://hdl.handle.net/10803/694442 |
| Access Level: | acceso abierto |
| Palavra-chave: | Adrenalectomia laparoscòpica 3D Adrenalectomía laparoscópica 3D 3D laparoscopic adrenalectomy Adrenalectomia laparoscòpica 2D Adrenalectomía laparoscópica 2D 2D laparoscopic adrenalectomy Comparació Comparación Comparison Tumors suprarenals Tumores suprarrenales Adrenal tumors Cirugia laparoscòpica Cirugía laparoscópica Laparoscopic surgery 616 616.4 |
| Resumo: | ENG- Introduction: Laparoscopic adrenalectomy, introduced in the 1990s, replaced open surgery as the gold standard. While advantageous, 2D vision has limitations in depth perception, addressed by 3D systems. This study compares the safety and efficacy of 3D versus 2D systems in adrenal tumor surgery. Objectives: 1) Evaluate morbidity and mortality with 3D vision; 2) Analyze conversions to open surgery; 3) Assess surgical time and intraoperative bleeding; 4) Evaluate hospital stay and causes for prolongation. Methods: Data from 205 patients operated at Dr. Trueta Hospital (2003-2023) were analyzed. Open surgeries, retroperitoneal approaches, and combined procedures were excluded. Statistical analyses and propensity score matching were used to compare 3D and 2D groups. Results: After matching, 104 patients (52 per group) were compared. No complications or conversions to open surgery occurred in the 3D group, while 2 complications (3.8%) and 6 conversions (11.5%) were reported in the 2D group. Surgical time was shorter with 3D (p<0.001), with less intraoperative bleeding (<20 ml) and shorter hospital stays (2 vs. 3 days). Factors increasing hospital stay included complications, prolonged surgical time, and use of surgical drains. Conclusions: Laparoscopic adrenalectomy with 3D vision is safe and effective, offering shorter surgical times, minimal bleeding, and faster recovery |
|---|