3D腹腔镜在胃癌根治手术中的临床应用

Application of three-dimensional laparoscopy in radical gastric cancer surgery

目的 探讨3D高清腹腔镜在胃癌根治术中的临床应用价值.方法 2013年7至9月选取12例胃癌患者,进行3D腹腔镜辅助胃癌根治术（D2）,其中6例行全胃切除,6例行远端胃切除;记录手术时间、术中出血量、淋巴结清扫数目、术后肛门排气时间、进食时间等近期疗效指标,对其特点及疗效做观察分析.结果 本组12例患者均顺利完成3D腹腔镜辅助胃癌根治术（D2）.病理类型：印戒细胞癌3例,低分化腺癌4例,中分化腺癌3例,高分化腺癌2例.手术时间为180～210 min,出血量50～150 ml,清扫淋巴结数目为32～54枚,术后肛门排气时间1～3d,术后进食流质时间4～5d,术后均无并发症发生.结论 3D高清腹腔镜能提供三维立体效果,实现精细化操作,使用3D腹腔镜行胃癌根治手术,能降低操作难度,并取得良好的近期疗效.

Objective To explore the application of three-dimensional （3D） high-definition （HD） laparoscopy in radical operation for stomach carcinoma.Methods A total of 12 cases of radical operation for stomach carcinoma were performed under 3D laparoscopy.The procedures included total gastrectomy （n =6） and distal gastrectomy （n =6）.The operative duration,intraoperative blood loss,number of lymph node harvested,postoperative first flatus day and time of food intake were recorded and analyzed.Results All cases were successfully operated without complications.The operative duration was 180-210 min,blood loss 50-150 rnl,number of lymph node harvested 32-54 and postoperative first faltus day 1-3 days.Also all cases could take fluids at Days 4-5 postoperation.Conclusion 3D laparoscopic radical operation for gastric cancer may be performed safely and effectively with decreased surgical difficulties.