{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:44:12Z","timestamp":1792086252632,"version":"4.4.0"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T00:00:00Z","timestamp":1611187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T00:00:00Z","timestamp":1611187200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T00:00:00Z","timestamp":1611187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Three\u2010dimensional (3D) imaging has been suggested to improve learning and performance of laparoscopy. We sought to investigate whether 3D imaging could improve the outcomes after laparoscopic cholecystectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Two\u2010hundred and forty\u2010one consecutive patients underwent elective or urgent laparoscopic cholecystectomy using 2D (<jats:italic>n<\/jats:italic>\u2009=\u2009111) and 3D (<jats:italic>n<\/jats:italic>\u2009=\u2009130) imaging equipments from March 2017 to March 2019 at the Kainuu Central Hospital, Finland. The main outcomes of this study were biliary tract injury, conversion to open procedure and procedure duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the overall series, there were 5 cases of biliary tract injury (2.1%). When compared to 3D imaging, 2D was associated with increased risk of biliary tract injury in the overall series (0% in 3D vs. 4.7% in 2D, <jats:italic>p<\/jats:italic>\u2009=\u20090.026) in addition to a subgroup of acute cholecystitis patients operated by senior surgeons (<jats:italic>n<\/jats:italic>\u2009=\u200992), 0% in 3D group (<jats:italic>n<\/jats:italic>\u2009=\u200960) vs. 10.0% in 2D group (<jats:italic>n<\/jats:italic>\u2009=\u200932), <jats:italic>p<\/jats:italic>\u2009=\u20090.037\u00a0in univariate analysis. The rates of conversion to open surgery did not differ between the groups in the overall series (5.3 vs 5.7%, <jats:italic>p\u2009<\/jats:italic>=\u20090.909) or any of the subgroups. Duration of surgery with 3D vs. 2D imaging were comparable in the elective (57.0\u2009\u00b1\u200916.3 vs. 54.1\u2009\u00b1\u200918.9\u00a0min, <jats:italic>p<\/jats:italic>\u2009=\u20090.228) and urgent setting (66.9\u2009\u00b1\u200915.1 vs. 67.4\u2009\u00b1\u200916.6\u00a0min, <jats:italic>p<\/jats:italic>\u2009=\u20090.805). Such differences were not significant in multivariate analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study suggests that the use of 3D imaging is significantly associated with a reduced risk of intraoperative biliary tract injury during laparoscopic cholecystectomy especially in acute cholecystitis.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05934-z","type":"journal-article","created":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T15:04:01Z","timestamp":1611241441000},"page":"1370-1375","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Comparative Analysis of Three\u2010Versus Two\u2010dimensional Imaging in Laparoscopic Cholecystectomy"],"prefix":"10.1002","volume":"45","author":[{"given":"Asta","family":"Tauriainen","sequence":"first","affiliation":[{"name":"Department of Surgery Kuopio University Hospital and University of Eastern Finland Kuopio Finland"},{"name":"Department of Surgery Kainuu Central Hospital Sotkamontie 13 87300 Kajaani Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fausto","family":"Biancari","sequence":"additional","affiliation":[{"name":"Research Unit of Surgery, Anesthesiology and Critical Care, Faculty of Medicine University of Oulu Oulu Finland"},{"name":"Heart and Lung Center Helsinki University Hospital Helsinki Finland"},{"name":"Department of Surgery University of Turku Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuomas","family":"Tauriainen","sequence":"additional","affiliation":[{"name":"Department of Surgery Kainuu Central Hospital Sotkamontie 13 87300 Kajaani Finland"},{"name":"Research Unit of Surgery, Anesthesiology and Critical Care, Faculty of Medicine University of Oulu Oulu Finland"},{"name":"Heart and Lung Center Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.16.2168"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2018.03.080"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010018\u20106169\u20101"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/13645706.2017.1305970"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2017.01.011"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000000536"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010015\u20101660\u2010y"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.18632\/oncotarget.24669"},{"issue":"1","key":"e_1_2_7_10_1","article-title":"Three dimensional versus two dimensional imaging for laparoscopic cholecystectomy","volume":"19","author":"Gurusamy KS","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3182827e17"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(97)08005\u20107"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/136518201317077189"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9601"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-020-05934-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-020-05934-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-020-05934-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-020-05934-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T16:50:04Z","timestamp":1703350204000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-020-05934-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,21]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1007\/s00268-020-05934-z"],"URL":"https:\/\/doi.org\/10.1007\/s00268-020-05934-z","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,21]]},"assertion":[{"value":"27 December 2020","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Asta Tauriainen, Fausto Biancari and Tuomas Tauriainen have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"A research coordinator from the institutional review board was consulted on. Based on the consultation, approval for the study was granted. Written consent from the study population or from the institutional review board was not required for the present study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}