3D腹腔镜手术是颠覆性抑或过渡性技术

Three-dimensional laparoscopic surgery： a revolutionarytechnique or a transitional technique

3D腹腔镜技术自2012年进入中国以来，发展迅猛。由于3D腹腔镜技术是基于已有成熟、规范的2D腹腔镜技术基础上进行的，其手术操作步骤和技巧仍一致，应用范围与2D腹腔镜技术相似。但3D腹腔镜与2D腹腔镜相比，具有更为明显的手术视野三维立体感和手术操作纵深感。在淋巴结清扫、层面显露、消化道重建等方面具有优势，并可减少手术中操作的失误。未来虚拟现实（VR）技术，4K技术与3D技术的结合可能会使腹腔镜操作获得更佳的视觉体验。然而，目前3D腹腔镜只是针对传统腹腔镜手术的一个创新性产品，还谈不上是颠覆性技术。

Three-dimensional （ 3 D ） laparoscopic sur- gery has been developed rapidly in China since 2012. Based on mature two-dimensional （2D） laparoscopic surgery, 3D laparo- scopic surgery has the same technique as 2D, with similar indi- cation as 2D as well. However, 3D laparoscopic surgery can offer better depth description, more accurate spatial location, and less error in operation. It might offer better visional experi- ence if hybrid with virtual reality or with 4K in the future. But in current status, laparoscopy with 3D technique is only a tech- nique with innovation, but not a revolutionary technique.