3D腹腔镜技术在胃癌手术中的应用及其优势探讨

The application and advantages of 3D laparoscopic surgery in gastric cancer

目的探讨3D腹腔镜胃癌根治术在胃癌患者治疗中的临床应用价值。方法选取140例胃癌患者的病历资料进行回顾性分析,根据手术方法不同将患者分为3D组与2D组,每组各70例。比较两组患者的手术指标、术后恢复情况及并发症发生率。结果 3D组患者的手术时间短于2D组,术中出血量少于2D组,差异均有统计学意义(P﹤0.001);3D组患者的术后肛门排气时间、恢复流质饮食时间、住院时间与2D组比较,差异无统计学意义(P﹥0.05);3D组患者的清扫淋巴结数目多于2D组,差异有统计学意义(P﹤0.001);3D组患者的手术并发症发生率为8.57%,低于2D组患者的21.43%,差异有统计学意义(χ~2=4.538,P=0.033)。结论 3D腹腔镜胃癌根治术让操作者具有更好的视觉、操作更加精细,能有效缩短手术时间,减少术中出血量,同时降低手术并发症发生率。

Objective To evaluate the clinical value of 3D laparoscopic radical gastrectomy in the treatment of gastric cancer. Method Medical records of 140 gastric cancer patients were retrospectively analyzed, and the patients were divided into 3D group and 2D group according to their surgical methods, with 70 cases in each group. The operation related indicators, postoperative recovery and the incidence of complications were compared between the two groups. Result The operation time and intraoperative bloss loss of 3D group were both less than those of 2D group, and the differences reached statistically significant（P〈0.001）; the postoperative anal exhaust time, liquid diet re-feeding time and length of stay in the 3D group were not significantly different from those in the 2D group（P〉0.05）; the lymph nodes resected in the3 D group were significantly more than those in the 2D group（P〈0.001）; the complication rate was 8.57% in the 3D group and 21.43% in the 2D group, the difference was statistically significant（χ~2=4.538, P=0.033）. Conclusion 3D laparoscopic radical gastrectomy can offer a better vision, make the surgery more precise, shorten the operation time, reduce transoperative bleeding, and lower the surgical complication rate.