3D腹腔镜与2D腹腔镜在乙状结肠癌根治术中应用的近期疗效对比分析

Comparative analysis of the short term efficacy of three-dimensional and two-dimensional laparoscopic radical resection of sigmoid colon cancer

目的对比分析3D腹腔镜与2D腹腔镜在乙状结肠癌根治术中应用的近期疗效。方法回顾性分析2015年1月至2016年12月在我科接受3D腹腔镜下乙状结肠癌根治术的17例患者的临床资料,同期选取接受2D腹腔镜手术的25例乙状结肠癌患者的临床资料,比较两组患者的近期疗效。结果两组患者手术均顺利完成,无中转开腹病例。3D腹腔镜组对比2D腹腔镜组能够缩短手术时间、减少术中出血量,差异具有统计学意义(均P<0.05);两组患者淋巴结清扫数目、术后首次排气时间、术后住院时间、术后并发症发生率、住院费用比较,差异均无统计学意义(均P>0.05)。结论3D腹腔镜对比2D腹腔镜下行乙状结肠癌根治手术能够缩短手术时间,减少术中出血量,具有良好的安全性和可行性。

Objective To compare the short term efficacy of three-dimensional （3D） and two-di- mensional （2D） laparoscopic radical resection of sigmoid colon cancer. Methods The clinical data of 17 patients with sigmoid colon cancer treated with 3D laparoscopic radical resection of sigmoid colon from Jan- uary 2015 to December 2016 were retrospectively analyzed. The clinical data of 25 patients with sigmoid colon cancer who underwent 2D laparoscopic resection were selected as the control group. The short-term ef- ficacy of the two groups was compared. Results All the operations were performed successfully without con- version. The average operative time and intraoperative blood loss in the 3D group were statistically less than the 2D group （both P〈0.05 ）. The lymph node dissected, time of first flatus, length of hospital stay, hospitalization cost, and postoperative complication rate were not statistically different between the two groups （all P 〉 0.05）. Conclusions As compared with 2D laparoscopic surgery, 3D laparoscopic radical resection of sig- mold colon cancer can shorten the operation time and reduce the amount of bleeding during operation, which was safe and feasible in clinical practice.