3D腹腔镜前列腺癌根治术的前期临床应用

Preliminary Clinical Application of Laparoscopic Radical Resection of Prostate Cancer 3D

目的:探讨3D腹腔镜前列腺癌根治术的前期手术经验及优势。方法回顾性分析我科6例行3D腹腔镜前列腺癌根治术患者的手术时间、术中出血量、短期手术并发症,并总结早期手术经验及其与传统2D腹腔镜的区别与优势。结果6例患者中2例行淋巴结清扫患者手术时间分别为270min、250min,平均手术时间260min;其余4例未行淋巴结清扫患者平均手术时间为188min(160~240min)。平均术中出血量为483ml(200~800ml)。术后1例患者出现膀胱颈尿道吻合口漏,其余患者无短期并发症发生。结论通过本次3D腹腔镜的前期临床应用,我们认为3D腹腔镜相比传统2D腹腔镜,具有高清晰3D立体视野、学习曲线短、维护方便、使用成本可接受、价格适中的特点。

Objective To present the experience of initial radical prostatectomy by 3D laparoscope and discuss the advantage of 3D laparoscope compare with the 2D laparoscope.Methods We review the operation duration/blood loss/short-term complications of 6 patients diagnosed with localized prostate carcinoma undergoing 3D laparoscopy radical prostatectomy,and summarize the experience of operation.Results The mean operation duration is 260min for two patients who received lymph node dissection(250/270min)and the mean operation duration is 188min for the other 4 patients(range from 160min to 240min).The mean blood loss during operation is 483ml(range from 200~800ml).1 patient had the leakage of the bladder neck-urethral anastomosis after operation,and the other patients did not have short-term complications.Conclusion Compare with 2D laparoscopy radical prostatectomy,3D laparoscopy radical prostatectomy has the high definition three-dimensional vision and make the learning curve shorter.Also the 3D laparoscope system is easy to maintain,and its price is acceptable.