Abstract
Objective To review the experiences of clinical application of 3-dimentional high-definition(3D-HD) laparoscopy in children. Methods The clinical data of 4 cases operated by 3D-HD laparoscopy were analyzed including choledochocyst, ovary cyst, thalassemia with splenomegaly and acute appendicitis at Children's Hospital of Shanghai or Shanghai Jiao Tong University from February to April 2014. Laparoscopic choledochal cyst excision with Roux-Y hepaticojejunostomy was performed successfully. Ovary cyst and splenomegaly caused by thalassemia were resected by laparoscopy and the pathological diagnosis was serous cystadenoma. Laparoscopic appendectomy was completed by 3-site procedure. Results All laparoscopic procedure were completed successfully without conversion into open surgery. The operative duration and intra-operative bleeding volume were similar to those of conventional 2D laparoscopy. And all patients were followed up till now and there was no surgical complication. The 3D-HD system could provide more precise depth perception, spatial location, movement velocity and improved surgical performance. Conclusions 3D-HD laparoscopic system provides three-dimensional perception, especially on instrument path length, usability, visual comfort and quality of image transmission. With improved quality of vision, laparoscopic surgeons may benefit from 3D imaging and perform precise operations. Key words: Laparoscopy; Imaging, three-dunebsional; Treatment outcome
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