Evidence map›Paper›PMID 41639416›Full record

SynthesisSurgical endoscopy2026

Comparison of 2D and 3D visualization in minimally invasive and robotic surgery: a systematic review.

Dimitrios Chatziisaak, Ismail Labgaa, Stephan Bischofberger, Dieter Hahnloser

Abstract readSystematic ReviewComparative Study
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

4 authors.

Dimitrios ChatziisaakDepartment of Surgery, Centre Hôpitalier Universitaire Vaudois, Lausanne, Switzerland. dimitrios.chatziisaak@nhs.net.ORCID 0009-0003-7203-7822
Ismail LabgaaDepartment of Surgery, Centre Hôpitalier Universitaire Vaudois, Lausanne, Switzerland.ORCID 0000-0003-4286-2170
Stephan BischofbergerDepartment of Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland.ORCID 0009-0009-8434-679X
Dieter HahnloserDepartment of Surgery, Centre Hôpitalier Universitaire Vaudois, Lausanne, Switzerland.ORCID 0000-0002-5595-4114

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive surgery (MIS) has transformed abdominal surgery by improving recovery times and maintaining comparable outcomes to open surgery. However, the loss of three-dimensional (3D) visualization remains a limitation. Robotic platforms have facilitated the adoption of 3D systems. Despite these developments, the advantages of 3D over two-dimensional (2D) visualization in MIS and robotic surgery remain controversial.

methodsA systematic review was conducted including studies published between January 2015 and May 2024. Studies comparing 2D and 3D visualization in MIS and robotic surgery were included. Primary outcomes assessed were operative time, intraoperative blood loss, length of stay, conversion and complication rates.

resultsRegarding MIS, three studies demonstrated a statistically significant reduction in blood loss favoring 3D visualization, with median reductions from 60 mL (IQR 20-60) to 20 mL (IQR 5-40) (p = 0.008). Operative time was significantly reduced in 15 studies, notably in hernia repairs, bariatric, gastric, and colorectal surgeries. Two studies reported marginally significant reductions in hospital stay. Complication rates showed isolated improvements. In robotic surgery, 14 studies showed 3D visualization enhanced task performance, with tasks completed up to 88% faster among novice surgeons.

conclusion3D visualization consistently reduces operative time in selected MIS procedures and improves robotic task performance, whereas effects on blood loss, complications, and length of stay are inconsistent. Standardized, procedure-specific trials-especially against 2D-4K-and reporting of clinical outcomes in robotic surgery are needed.

Indexed as

Imaging, Three-DimensionalMinimally Invasive Surgical ProceduresRobotic Surgical ProceduresBlood Loss, SurgicalHumansLength of StayOperative TimeMinimally invasive surgeryOperative timeRobotic surgerySystematic reviewThree-dimensional visualizationTwo-dimensional visualization

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.