3D腹腔镜胆囊切除术36例报告

Application of 3D Laparoscopic Cholecystectomy:a Report of 36 Cases

目的探讨3D腹腔镜胆囊切除术的临床应用价值。方法 2014年6～10月我院对31例胆囊结石和5例胆囊息肉样病变施行3D腹腔镜胆囊切除术（laparoscopic cholecystectomy,LC）,采用上腹部三孔法切除胆囊,建立腹腔镜操作通道,并维持气腹完成胆囊切除（手术方法同一般胆囊切除术）。结果手术时间12～91 min,（27.5±16.6）min;术中出血5～120 ml,（45.0±26.9）ml。2例由于炎症重放置引流管,其余未放引流管,无胆漏、出血等并发症。36例术后随访1～5个月,平均2个月,患者无不适。结论 3D腹腔镜胆囊切除术是安全可行的,较2D腹腔镜易操作,更直观。

Objective To investigate the clinical value of 3D laparoscopic cholecystectomy. Methods From June to October 2014,36 cases of gallbladder disease,including 31 cases of gallbladder stones and 5 cases of gallbladder polyps,were treated by 3D laparoscopic cholecystectomy. The operation was performed by using the three ports technique,which was similar to conventional laparoscopic cholecystectomy. Results The operative time was 12- 91 min（ average,27. 5 ± 16. 6 min）,and the blood loss was5- 120 ml（ average,45. 0 ± 26. 9 ml）. Two patients were given abdominal drainage,and the remaining patients required no drainage.No bile leakage,bleeding and other complications occurred. Postoperative follow-ups for 1- 5 months（ average,2 months） in 36 cases showed no discomfort. Conclusion 3D laparoscopic cholecystectomy is feasible and safe. As compared with 2D surgery,it is easier to operate and has more intuitive surgical vision.