Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data

Shumao Zhang; Zhanwen Huang; Liang Cai; Wei Zhang; Haoyuan Ding; Li Zhang; Yue Chen

doi:10.5114/wiitm.2020.100678

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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1/2021
vol. 16

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General surgery

abstract:

Meta-analysis

Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data

Shumao Zhang

^{1, 2}

,

Zhanwen Huang

^{1, 2}

,

Liang Cai

^{1, 2}

,

Wei Zhang

^{1, 2}

,

Haoyuan Ding

^{1, 2}

,

Li Zhang

^{1, 2}

,

Yue Chen

^{1, 2}

Department of Nuclear Medicine, Affiliated Hospital, Southwest Medical University, Luzhou, China
Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, Sichuan, China

Videosurgery Miniinv 2021; 16 (1): 1–9

DOI: https://doi.org/10.5114/wiitm.2020.100678

Online publish date: 2020/11/05

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Introduction
The benefit of three-dimensional (3D) visualization for liver disease is uncertain.

Aim
To evaluate the effectiveness and safety of 3D versus two-dimensional (2D) video-assisted hepatectomy for LD.

Material and methods
We searched PubMed, Embase, Cochrane Library, Medline, and Web of Science for studies addressing 3D versus 2D for 2D until 30 February 2020. Study-specific effect sizes and their 95% confidence intervals (CIs) were combined to calculate the pooled value using a fixed-effects or random-effects model.

Results
Nine studies with 808 patients were included. The 3D group had shorter operative time (mean difference (MD) = 34.39; 95% CI = 59.50, 9.28), experienced less intraoperative blood loss (MD = 106.55; 95% CI = 183.76, 29.34), and a smaller blood transfusion volume (MD = 88.25; 95% CI = 141.26, 35.24). The 3D group had a smaller difference between the predicted volume and the actual resected volume (MD = 103.25; 95% CI = 173.24, 33.26) and a lower rate of postoperative complications (odds ratio (OR) = 0.57; 95% CI: 0.35, 0.91).

Conclusions
During surgery, 3D video-assisted hepatectomy could effectively reduce operative time, intraoperative bleeding, and blood transfusion volume, and had a smaller difference between the predicted volume and the actual resected volume and a lower rate of postoperative complications. More high-quality randomized controlled trials are required to verify the reliability and validity of our conclusion.

keywords:

Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data

Shumao Zhang 1, 2 , Zhanwen Huang 1, 2 , Liang Cai 1, 2 , Wei Zhang 1, 2 , Haoyuan Ding 1, 2 , Li Zhang 1, 2 , Yue Chen 1, 2

three dimensional, two dimensional, video-assisted hepatectomy, meta-analysis

Shumao Zhang

^{1, 2}

,

Zhanwen Huang

^{1, 2}

,

Liang Cai

^{1, 2}

,

Wei Zhang

^{1, 2}

,

Haoyuan Ding

^{1, 2}

,

Li Zhang

^{1, 2}

,

Yue Chen

^{1, 2}