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Novel, high‐definition 3‐D endoscopy system with real‐time compression communication system to aid diagnoses and treatment between hospitals in T hailand
Author(s) -
Uemura Munenori,
Kenmotsu Hajime,
Tomikawa Morimasa,
Kumashiro Ryuichi,
Yamashita Makoto,
Ikeda Testuo,
Yamashita Hiromasa,
Chiba Toshio,
Hayashi Koichi,
Sakae Eiji,
Eguchi Mitsuo,
Fukuyo Tsuneo,
Chittmittrapap Soottiporn,
Navicharern Patpong,
Chotiwan Pornarong,
Pattanaarum Jirawat,
Hashizume Makoto
Publication year - 2015
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12167
Subject(s) - medicine , endoscopy , clipping (morphology) , surgery , medical diagnosis , laparoscopy , endoscope , radiology , general surgery , philosophy , linguistics
Traditionally, laparoscopy has been based on 2‐D imaging, which represents a considerable challenge. As a result, 3‐D visualization technology has been proposed as a way to better facilitate laparoscopy. We compared the latest 3‐D systems with high‐end 2‐D monitors to validate the usefulness of new systems for endoscopic diagnoses and treatment in T hailand. Methods We compared the abilities of our high‐definition 3‐D endoscopy system with real‐time compression communication system with a conventional high‐definition ( 2‐D ) endoscopy system by asking health‐care staff to complete tasks. Participants answered questionnaires and whether procedures were easier using our system or the 2‐D endoscopy system. Results Participants were significantly faster at suture insertion with our system (34.44 ± 15.91 s) than with the 2‐D system (52.56 ± 37.51 s) ( P < 0.01). Most surgeons thought that the 3‐D system was good in terms of contrast, brightness, perception of the anteroposterior position of the needle, needle grasping, inserting the needle as planned, and needle adjustment during laparoscopic surgery. Several surgeons highlighted the usefulness of exposing and clipping the bile duct and gallbladder artery, as well as dissection from the liver bed during laparoscopic surgery. In an image‐transfer experiment with R e P ure‐ L ®, participants at R ajavithi H ospital could obtain reconstructed 3‐D images that were non‐inferior to conventional images from C hulalongkorn U niversity H ospital (10 km away). Conclusion These data suggest that our newly developed system could be of considerable benefit to the health‐care system in T hailand. Transmission of moving endoscopic images from a center of excellence to a rural hospital could help in the diagnosis and treatment of various diseases.