González Alvarez GE, Ramírez Sánchez C, Martínez Nieto M, Alarcón-Sánchez MA, Varela-Hernández JJ, Lomelí Martínez SM. Glasses-free three-dimensional laparoscopic systems in oncologic surgery: Innovation or equivalence? World J Gastrointest Surg 2025; 17(11): 110718 [DOI: 10.4240/wjgs.v17.i11.110718]
Corresponding Author of This Article
Sarah M Lomelí Martínez, PhD, Associate Professor, Researcher, Department of Medical and Life Sciences, La Ciénega University Center, University of Guadalajara, Avenue Universidad 1115, Col. Lindavista, Ocotlan 47810, Jalisco, Mexico. sarah.lomeli@academicos.udg.mx
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Nov 27, 2025; 17(11): 110718 Published online Nov 27, 2025. doi: 10.4240/wjgs.v17.i11.110718
Glasses-free three-dimensional laparoscopic systems in oncologic surgery: Innovation or equivalence?
Gustavo Eder González Alvarez, Christian Ramírez Sánchez, Melissa Martínez Nieto, Mario A Alarcón-Sánchez, Juan José Varela-Hernández, Sarah M Lomelí Martínez
Gustavo Eder González Alvarez, Juan José Varela-Hernández, Sarah M Lomelí Martínez, Department of Medical and Life Sciences, La Ciénega University Center, University of Guadalajara, Ocotlan 47810, Jalisco, Mexico
Christian Ramírez Sánchez, Department of Thoracic Surgery, Fray Antonio Alcalde Civil Hospital, University of Guadalajara, Guadalajara 44200, Jalisco, Mexico
Melissa Martínez Nieto, Department of Integrated Dentistry Clinics, University Center of Health Sciences, University of Guadalajara, Guadalajara 44340, Jalisco, Mexico
Mario A Alarcón-Sánchez, Molecular Biology and Medicine Program, University Center of Health Sciences, University of Guadalajara, Guadalajara 44340, Jalisco, Mexico
Author contributions: All authors contributed equally to the preparation of this manuscript; González Alvarez GE, Lomelí Martínez SM, and Ramírez Sánchez C contributed to the idea; Martínez Nieto M, Alarcón-Sánchez MA, and Varela-Hernández JJ conducted the literature search; González Alvarez GE, Ramírez Sánchez C, and Lomelí Martínez SM wrote the preliminary draft; González Alvarez GE, Ramírez Sánchez C, Alarcón-Sánchez MA, Varela-Hernández JJ, and Lomelí Martínez SM critically reviewed and approved the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sarah M Lomelí Martínez, PhD, Associate Professor, Researcher, Department of Medical and Life Sciences, La Ciénega University Center, University of Guadalajara, Avenue Universidad 1115, Col. Lindavista, Ocotlan 47810, Jalisco, Mexico. sarah.lomeli@academicos.udg.mx
Received: June 13, 2025 Revised: July 8, 2025 Accepted: August 19, 2025 Published online: November 27, 2025 Processing time: 165 Days and 16.5 Hours
Abstract
The development of minimally invasive surgery has transformed the management of gastrointestinal cancer. Notably, three-dimensional visualization systems have increased surgical precision. This editorial discusses a recent study by Shen and Zhang, which compared the clinical applications of naked-eye three-dimensional laparoscopic systems vs traditional optical systems in radical surgery for gastric and colorectal cancer. Both systems appeared to yield comparable surgical and oncological outcomes in terms of safety parameters, operating times, and quality of lymph node dissection. However, the spectacle-free system’s technical and logistical limitations hindered its effects on the surgical team’s overall competency. This editorial examines the authors’ findings within the broader context of the evolution of oncologic laparoscopy, discusses the relevance of the results in light of the current literature, and proposes future research directions focused on multicenter validation, comprehensive ergonomic analysis, and technological advancements aimed at enhancing intraoperative collaboration. As technology continues to evolve, clinical implementation of new methods must be supported by robust scientific evidence and standardized criteria, to ensure tangible improvements in efficiency, safety, and oncologic outcomes.
Core Tip: The glasses-free three-dimensional laparoscopic system is an innovative alternative to the conventional glasses-based systems used in gastrointestinal oncologic surgery. Although preliminary findings suggest its comparable clinical efficacy to conventional systems, its widespread clinical use still faces several technical, ergonomic, and logistical challenges. Future research should evaluate not only surgical outcomes but also the effects on intraoperative collaboration, surgeon perception, and user experience.
