The main objective of this study was to compare results of using the robotic 3D/ @entity2033 scope and the 2D/ @entity2033 laparoscope for visual detection of histologically confirmed @entity46 . Three surgeons from different practices enrolled premenopausal @entity1 >= 18  years who had elected to undergo robotic-assisted @entity46 resection. @entity1 were randomized to receive 2D/ @entity2033 laparoscopic visualization either before or after 3D/ @entity2033 robotic visualization. Resections then proceeded robotically. The number of histologically confirmed lesions overall and by abdomino-pelvic location, appearance and size was compared by scope type used. During the study, 598 lesions were visualized in 98 @entity1 . Average number of lesions per @entity1 using either scope was 6.1. Mean age was 31  years and 77% were disease stage I/II. On histopathology, 58.4% of lesions resected were consistent with @entity46 . All (100%) of these lesions were detected using the robotic 3D/ @entity2033 scope and 77.9% using the 2D/ @entity2033 laparoscope  (p  <  0.001). Compared to laparoscopic, robotic visualization resulted in detection of more confirmed lesions in all anatomic locations and for most appearances, including the cul-de-sac (100 vs. 79%), atypical appearance (100 vs. 71.3%) and width <5  mm (100 vs. 62%), p's  <  0.001). Logistic regression indicated that use of the 3D/ @entity2033 robotic scope was independently associated with 2.36 times the likelihood (95% CI 1.20, 4.66; p  =  0.014) of detecting a confirmed lesion, compared to the 2D/ @entity2033 laparoscope. Large-scale, long-term studies are needed to substantiate these findings in multiple practice settings and to determine whether 3D robotic versus 2D laparoscopic resection has a beneficial impact on symptomatology, recurrence and fertility outcomes.

Visualization of XXXX : comparative study of 3-dimensional robotic and 2-dimensional laparoscopic endoscopes.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'patient'] @entity46 :: ('MESH:D004715', 'Disease') :: ['endometriosis'] @entity2033 :: ('MESH:D006816', 'Disease') :: ['HD']
@entity46 :: (MESH:D004715,Disease) :: ['endometriosis']
