3D与2D腹腔镜根治术治疗右半结肠癌的疗效对比

Comparison of therapeutic effect of 3D and 2D laparoscopy-assisted radical operation in treatment of right colon cancer

目的探讨3D腹腔镜根治术治疗右半结肠癌的临床疗效及安全性。方法回顾性分析2014年1月至2016年1月接受治疗的53例右半结肠癌患者的临床资料,根据手术方式分为3D组28例和2D组25例,采用SPSS22. 0软件对所有数据进行统计学分析,围手术期相关指标等计量资料以(x珋±s)表示,采用独立t检验;手术切面分级及术后并发症发生率等组间比较采用χ2检验,均以P <0. 05为差异有统计学意义。结果 3D组患者手术切面分级明显优于2D组,差异具有统计学意义(P <0. 05); 3D组手术时间、术中出血量明显优于2D组,差异有统计学意义(P <0. 05);两组患者淋巴结清扫数目、术后首次排气时间、下床活动时间、平均住院时间、平均住院费用,术后并发症发生率比较,差异均无统计学意义(P> 0. 05)。结论 3D腹腔镜根治术治疗右半结肠癌的是安全可行的,具有手术时间短、术中出血量少的优势,值得在临床进一步推广应用。

Objective To investigate the clinical efficacy and safety of 3D laparoscopy-assisted radical operation in the treatment of right colon cancer.Methods From January 2014 to January 2016,a retrospective analysis was performed in 53 patients with right colorectal cancer treated in our hospital,including 28 cases in 3D group and 25 cases in 2D group.Statistical analysis were performed by using SPSS 22.0 software,the perioperative indicators were expressed as mean±standard deviation(x±s),and were examined by using t test.The surgical cutting surface classification and post-operative complication rate were examined by chi square test.A P<0.05 was considered as significant difference.Results The surgical cutting surface classification in the 3D group was better than that in the 2D group,there was statistically significant differences between the two groups(P<0.05);The operation time,intraoperative blood loss in the 3D group were significantly lower than those in the 2D group,there were statistically significant differences between the two groups(P<0.05);There were no difference between two groups in the number of removed lymph nodes,first flatus time,ground activity time,average hospitalization time,hospitalization cost and postoperative complication rate(P>0.05).Conclusion The 3D laparoscopy-assisted radical operation in treatment of right colon cancer is feasible and safe with the advantage of shorter operative time and less intraoperative blood loss and better surgical cutting surface classification,which is valuable to be applied in clinic.