3D腹腔镜结直肠癌根治术的应用现状与展望

Current application and prospect of three-dimensional laparoscopic radical resection of colorectal cancer

随着腹腔镜技术的发展及推广，结直肠癌根治术已实现微创化。术者在熟练应用新技术的同时，对手术图像的要求也不断提高。3D腹腔镜应运而生，提供了更立体的视野，使血管、神经、淋巴结及外科层面解剖更为真实，有助于术中辨认和操作，从而降低手术难度，缩短学习曲线。但3D腹腔镜手术也并非尽善尽美。笔者相信随着新技术的完善，3D腹腔镜在结直肠微创外科手术中的应用将更加广泛。

Most colorectal surgeries now are carried out as minimally invasive surgery along with the development and application of laparoscopy. However, the surgical imaging system does not meet the progressing requirement of laparoscopic surgeons. Thanks to the advent of three-dimensional （3D） laparo scopy, a more sophisticated surgical scene with realer images of anatomy is provided to surgeons. It makes identification and manipulation easier, so that to shorten the learning curve. Meanwhile, the 3D laparoscopy is not perfect. But authors believe it will finally be used broadly in colorectal surgery with the improvement of the technology.