ArticleAnnals of Saudi medicine
Impact of 3D high-definition laparoscopy on total laparoscopic hysterectomy: a body mass index-stratified retrospective analysis.
Article in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Efficacy of laparoscopic barbed sutures in the repair of gastroduodenal perforations: a meta-analysis.BMC gastroenterology · 2026Pooled it
- A structured learning curve for visuomotor recalibration and surgical performance during transition from two-dimensional to three-dimensional laparoscopic radical cystectomy.Frontiers in oncology · 2026Article
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3 authors.
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Abstract
backgroundThree-dimensional (3D) high-definition (HD) laparoscopy is a promising tool in minimally invasive gynecologic surgery, offering enhanced depth perception and visualization. However, its role in total laparoscopic hysterectomy (TLH), particularly in patients with varying body mass index (BMI), remains underexplored.
objectiveTo evaluate the impact of 3D HD laparoscopy on surgical efficiency and patient outcomes in TLH, with a focus on BMI-related differences. DESIGN AND SETTINGS: A single-center retrospective study. PATIENTS AND
methodsSixty patients who underwent TLH were included: n=30 used 3D HD laparoscopy (Aesculap 3D EinsteinVision) and n=30 matched controls used 2D laparoscopy. Matching criteria included uterine weight and prior surgical history. Patients were stratified according to BMI (≤24.9, 25-29.9, ≥30.0 kg/m
main outcome measuresOperative time, vault suturing time, blood loss, trocar site incisions, haemoglobin drop, and complication rates. SAMPLE SIZE: 60 patients (30 in each group).
resultsThe 3D HD laparoscopy group demonstrated significant improvements across multiple outcomes. Trocar site incisions were significantly reduced in all BMI categories (
conclusion3D HD laparoscopy enhances surgical efficiency in TLH, especially in patients with higher BMI, by minimizing trocar site incisions, reducing vault suturing times, and improving hemostasis-highlighting its value in overcoming challenges of minimally invasive gynecologic surgery. LIMITATIONS: The study's retrospective design and modest sample size limit generalizability.
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