Evidence map›Paper›PMID 31172324›Full record

Trial reportSurgical endoscopy2020

Two-dimensional (2D) versus three-dimensional (3D) laparoscopy for vaginal cuff closure by surgeons-in-training: a randomized controlled trial.

Mobolaji O Ajao, Christian R Larsen, Elmira Manoucheri, Emily R Goggins, Maja T Rask, Mary K B Cox, Avery Mushinski, Xiangmei Gu, Sarah L Cohen, Martin Rudnicki and 1 more

Registry-linked trialAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02192606 (Does 3D Laparoscopy Improve Vaginal Cuff Suture Time? A Randomized Controlled Trial Comparing 3D Laparoscopy Versus Standard Laparoscopy), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02192606 nacompletednot on this map

Does 3D Laparoscopy Improve Vaginal Cuff Suture Time? A Randomized Controlled Trial Comparing 3D Laparoscopy Versus Standard Laparoscopy

TypeinterventionalSponsorBrigham and Women's HospitalRan2013 to 2016Enrolled57ConditionsUterine Fibroids, Abnormal Uterine Bleeding, Pelvic Pain, AdenomyosisArmsStorz 3D Laparoscopy System, 2D Laparoscopy
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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  4. Long-term oncological outcomes of 3D versus 2D laparoscopic gastrectomy for gastric cancer: a randomized clinical trial.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Mobolaji O AjaoDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA. majao@bwh.harvard.edu.ORCID 0000-0002-4376-4866
Christian R LarsenThe Robotic & Minimal Invasive Surgical Research Unit, Department of Gynecology, Copenhagen University Hospital, Herlev, Denmark.
Elmira ManoucheriDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.
Emily R GogginsDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.
Maja T RaskDepartment of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark.
Mary K B CoxDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.
Avery MushinskiDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.
Xiangmei GuDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.
Sarah L CohenDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.
Martin RudnickiDepartment of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark.
Jon I EinarssonDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.
Brigham and Women's Hospital · USOdense University Hospital · DKCopenhagen University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObjective evidence is lacking as to the benefit of the addition of 3D vision to conventional laparoscopy in Gynecologic surgery. This study aims to compare 3-D visual system to traditional 2-D laparoscopic visualization for the laparoscopic closure of the vaginal cuff during total laparoscopic hysterectomy by surgeons-in-training [defined as senior OBGYN resident or Minimally Invasive Gynecologic Surgery (MIGS) fellow].

methods51 patients undergoing total laparoscopic hysterectomy at two tertiary care academic hospitals were randomized to two-dimensional or three-dimensional vision system with cuff closure performed by surgeons-in-training. The primary outcome was the time taken for vaginal cuff closure. Secondary outcomes included peri-operative outcomes and assessment of surgeon's perception of ease of cuff closure.

results27 (52.9%) cases were allocated to cuff closure with the 2D system and 24 (47.1%) cases to closure with the 3D vision system. Patient baseline characteristics were similar between the vision systems. Mean vaginal cuff closure time was not significantly different between 2D and 3D vision (10.1 min for 2D versus 12 min for 3D, p = 0.31). An additional 24 s was added to cuff closure time with each 1 kg/m

conclusionWe did not demonstrate any benefits of 3D vision system over conventional 2D for the task of laparoscopic vaginal cuff suturing performed by surgeons-in-training. RCT Registration Number NCT02192606 https://clinicaltrials.gov/ct2/show/NCT02192606 (July 17, 2014).

Indexed as

Education, Medical, GraduateImaging, Three-DimensionalAdultFemaleHumansHysterectomyInternship and ResidencyLaparoscopyLinear ModelsMiddle AgedOperative TimeSurgeonsSuture TechniquesVaginaHysterectomyLaparoscopyThree dimensionalTwo dimensionalVaginal cuff

Identifiers

PMID31172324
OpenAlexW2955608778

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.