3D与2D全腹腔镜中间入路完整结肠系膜切除右半结肠癌根治术的对比分析

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英文篇名：Comparative analysis of 3D and 2D laparoscopic hemicolectomy of right colon carcinoma 作者：梁鸿 ; 张辉 ; 张超 ; 郑伟 英文作者：Hong Liang;Hui Zhang;Chao Zhang;Wei Zheng;Department of Gastroenterological Surgery, Henan Provincial People's Hospital; 关键词：结肠肿瘤 ; 全腹腔镜切除 ; 右半结肠癌 ; 3D ; 2D 英文关键词：colonic neoplasms;;complete mesocolic excision;;right colon carcinoma;;3D;;2D 中文刊名：ZXDY 英文刊名：China Journal of Modern Medicine 机构：河南省人民医院胃肠外科; 出版日期：2019-05-15 出版单位：中国现代医学杂志 年：2019 期：v.29 基金：河南省医学科技攻关项目(No:201303132,No:2018020432) 语种：中文; 页：ZXDY201909014 页数：4 CN：09 ISSN：43-1225/R 分类号：72-75

摘要

目的探讨3D腹腔镜在全腹腔镜中间入路完整结肠系膜切除右半结肠癌根治术中的优势。方法回顾性分析比较108例3D和2D全腹腔镜中间入路完整结肠系膜切除右半结肠癌根治术患者的临床资料,并将其分为3D腹腔镜组(46例)和2D腹腔镜组(62例)。结果 3D腹腔镜组第2步(缝合)手术时间、术中失血量均小于2D腹腔镜组,而在深度知觉和腔内操作(缝合及打结)难易程度优于2D腹腔镜组(P <0.05)。结论 3D腹腔镜系统在全腹腔镜中间入路完整结肠系膜切除右半结肠癌根治术中,可为术者提供清晰立体的手术画面、减少手术时间和出血量,有助于缝合时持针、打结等操作,经验丰富的外科医生亦可从3D腹腔镜系统中获益。
        Objective To investigate the advantages of 3D total laparoscopic hemicolectomy of right colon carcinoma with complete mesocolic excision(CME). Methods A total of 108 cases of right colon carcinoma were involved in this study. Patients were randomly divided into 2D group(n = 62) and 3D group(n = 46), all of which received laparoscopic hemicolectomy of right colon carcinoma with CME. Results The operation time and intraoperative blood loss during the second step(suture) in the 3D group significantly decreased compared with those in 2D group(P < 0.05).Difficulty degree in depth perception and endovascular operation(suture and knotting) 3D group was weakened obviously when compared with that in the 2D group(P < 0.05). Conclusions Laparoscopic 3D system provides a clear picture of operation, reduces the operation time and blood loss in laparoscopic hemicolectomy of right colon carcinoma with CME.

引文

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