Abstract Background Three-dimensional view in laparoscopic general, gynaecologic and urologic surgery is an efficient, safe and sustainable innovation. The present paper is an extract taken from a full health technology assessment report on threedimensional vision technology compared with standard two-dimensional laparoscopic systems. Methods A health technology assessment approach was implemented in order to investigate all the economic, social, ethical and organisational implications related to the adoption of the innovative three-dimensional view. With the support of a multi-disciplinary team, composed of eight experts working in Italian hospitals and Universities, qualitative and quantitative data were collected, by means of literature evidence, validated questionnaire and self-reported interviews, applying a final MCDA quantitative approach, and considering the dimensions resulting from the EUnetHTA Core Model. Results From systematic search of literature, we retrieved the following studies: 9 on general surgery, 35 on gynaecology and urology, both concerning clinical setting. Considering simulated setting we included: 8 studies regarding pitfalls and drawbacks, 44 on teaching, 12 on surgeons’ confidence and comfort and 34 on surgeons’ performances. Three-dimensional laparoscopy was shown to have advantages for both the patients and the surgeons, and is confirmed to be a safe, efficacious and sustainable vision technology. Conclusions The objective of the present paper, under the patronage of Italian Society of Endoscopic Surgery, was achieved in that there has now been produced a scientific report, based on a HTA approach, that may be placed in the hands of surgeons and used to support the decision-making process of the health providers.

Why laparoscopists may opt for three-dimensional view. A summary of the full HTA report on 3D versus 2D laparoscopy by S.I.C.E. (Società  Italiana di Chirurgia Endoscopica e Nuove Tecnologie) / Vettoretto, Nereo; Foglia, Emanuela; Ferrario, Lucrezia; Arezzo, Alberto; Cirocchi, Roberto; Cocorullo, Gianfranco; Currò, Giuseppe; Marchi, Domenico; Portale, Giuseppe; Gerardi, Chiara; Nocco, Umberto; Tringali, Michele; Anania, Gabriele; Piccoli, Micaela; Silecchia, Gianfranco; Morino, Mario; Valeri, Andrea; Lettieri, Emauele. - In: SURGICAL ENDOSCOPY. - ISSN 0930-2794. - ELETTRONICO. - 32:6(2018), pp. 2986-2993. [10.1007/s00464-017-6006-y]

Why laparoscopists may opt for three-dimensional view. A summary of the full HTA report on 3D versus 2D laparoscopy by S.I.C.E. (Società  Italiana di Chirurgia Endoscopica e Nuove Tecnologie)

Portale, Giuseppe
Methodology
;
Gerardi, Chiara
Methodology
;
Silecchia, Gianfranco
Investigation
;
2018

Abstract

Abstract Background Three-dimensional view in laparoscopic general, gynaecologic and urologic surgery is an efficient, safe and sustainable innovation. The present paper is an extract taken from a full health technology assessment report on threedimensional vision technology compared with standard two-dimensional laparoscopic systems. Methods A health technology assessment approach was implemented in order to investigate all the economic, social, ethical and organisational implications related to the adoption of the innovative three-dimensional view. With the support of a multi-disciplinary team, composed of eight experts working in Italian hospitals and Universities, qualitative and quantitative data were collected, by means of literature evidence, validated questionnaire and self-reported interviews, applying a final MCDA quantitative approach, and considering the dimensions resulting from the EUnetHTA Core Model. Results From systematic search of literature, we retrieved the following studies: 9 on general surgery, 35 on gynaecology and urology, both concerning clinical setting. Considering simulated setting we included: 8 studies regarding pitfalls and drawbacks, 44 on teaching, 12 on surgeons’ confidence and comfort and 34 on surgeons’ performances. Three-dimensional laparoscopy was shown to have advantages for both the patients and the surgeons, and is confirmed to be a safe, efficacious and sustainable vision technology. Conclusions The objective of the present paper, under the patronage of Italian Society of Endoscopic Surgery, was achieved in that there has now been produced a scientific report, based on a HTA approach, that may be placed in the hands of surgeons and used to support the decision-making process of the health providers.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1087318
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