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)
Artikel i vetenskaplig tidskrift, 2018

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 three-dimensional 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.


Systematic review

Three-dimensional vision

Health technology assessment



Nereo Vettoretto

Spedali Civili Di Brescia

Emanuela Foglia

Universita Carlo Cattaneo

Lucrezia Ferrario

Universita Carlo Cattaneo

Alberto Arezzo

Universita degli Studi di Torino

Roberto Cirocchi

Universita degli Studi di Perugia

Gianfranco Cocorullo

Azienda Ospedaliera Universitaria Policlinico P. Giaccone

Giuseppe Currò

Universita degli Studi di Messina

Domenico Marchi

Ospedale di Baggiovara

Giuseppe Portale

Ospedale di Cittadella

Chiara Gerardi

Istituto di Ricerche Farmacologiche Mario Negri

Umberto Nocco

Clinical Engineering

Michele Tringali

Direzione Generale Welfare - Regione Lombardia

Gabriele Anania

University of Ferrara

Micaela Piccoli

Ospedale di Baggiovara

Gianfranco Silecchia

Sapienza, Università di Roma

Mario Morino

Universita degli Studi di Torino

Andrea Valeri

Azienda Ospedaliera Careggi

Emauele Lettieri

Politecnico di Milano

Surgical Endoscopy

0930-2794 (ISSN) 1432-2218 (eISSN)

Vol. 32 6 2986-2993


Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

Tvärvetenskapliga studier




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