3D腹腔镜与2D腹腔镜手术治疗胆总管结石的效果比较

Comparison of the effect of 3D laparoscopy and 2D laparoscopy in the treatment of choledocholithiasis

目的:比较3D腹腔镜与2D腹腔镜在胆总管结石手术中的临床效果。方法:回顾性分析接受腹腔镜胆囊切除+胆总管切开取石+T管引流手术治疗的117例患者资料,其中3D腹腔镜组79例,2D腹腔镜组38例。比较分析3D腹腔镜组和2D腹腔镜组的手术时间、胆总管缝合时间、手术出血量、负压引流管留置时间、术后住院时间、并发症和穿刺孔数目等的差异。结果:3D腹腔镜组的手术时间、胆总管缝合时间均优于2D腹腔镜组。两组手术出血量、负压引流管留置时间、术后住院时间、穿刺孔数目及并发症差异无统计学意义。结论:与2D腹腔镜相比,3D腹腔镜治疗胆总管结石解剖层次更清晰,手术时间更短,更能体现精准和微创的理念。

Objective：To compare the clinical effects of 3D laparoscopy and 2D laparoscopy on removal of common bile duct calculi.Methods：A total of 117 patients receiving laparoscopic cholecystectomy ＋ choledocholithotomy ＋T tube drainage in our hospital were retrospectively analyzed, of whom 79 received 3D laparoscopy and 38 underwent 2D laparoscopy. The operation time, suture time of common bile duct, amount of operation bleeding, retention time of negative pressure drainage tube, postoperative hospitalization time and complications as well as number of puncture holes of the two groups were compared and analyzed.Results：The operation time, suture time of common bile duct of the 3D laparoscopy group were superior to those of the 2D laparoscopy group. However, the two groups had similar amounts of operation bleeding, retention times of negative pressure drainage tube, postoperative hospitalization time, number of puncture holes and complications. Conclusion： Compared with 2D laparoscopy, 3D laparoscopy is clearer for the treatment of common bile duct calculi and has shorter operation time, being more accurate and minimally invasive.