3D与2D腹腔镜肾上腺肿瘤切除术对比研究

A clinical comparative study of 2D and 3D laparoscopic technique in adrenalectomy

目的探讨与2D腹腔镜相比,3D腹腔镜技术在肾上腺肿瘤切除术中的临床应用价值。方法以2015年11月至2016年3月于徐州中心医院泌尿外科实施腹腔镜下肾上腺肿瘤切除术的患者38例为研究对象,其中18例患者采用2D腹腔镜技术(对照组),其余20例患者采用3D腹腔镜技术(实验组)。分析比较两组在手术时间、术中出血量、术后并发症发生率及术后住院时间等方面的差异。结果实验组vs对照组,两组的手术时间[(110±18)min vs(120±20)min]、术中出血量[(60±14)ml vs(64±16)ml]、术后并发症发生率[0vs 0]、术后住院时间[(7.8±2.6)d vs(8.1±2.8)d]比较,差异无统计学意义。结论与2D腹腔镜相比,高清3D腹腔镜对于肾上腺肿瘤切除术等只需要简单外科操作的手术无明显优势。

Objective To investigate if 3D laparoscopic techniques have more clinical value than 2D techniques in adrenalectomy. Methods 38 cases were enrolled in our research from No- vember, 2015 to March, 2016, 18 out of all cases were performed adrenalectomy by 2D laparoscopy, and the other 20 cases were performed by 3D laparoscopy. The operation time, blood loss, complica tions and length of postopertive hospitliztion of both groups were counted for statistical analysis. Results There were no significant difference between two groups in operation time, blood loss, complications and length of postopertive hospitalization. Conclusions Compared with 213 laparoscopic techniques, 3D has no obvious advantages for some uncomplicated operations, such as adrenalectomy.