3D和2D腔镜在胸前入路甲状腺癌手术中的效果比较

Comparison the clinical efficacy of 3Dversus 2Dtotal laparoscopic thyroidectomy for thyroid cancer by via-breast approach

目的:总结分析3D腔镜与2D腔镜在甲状腺癌手术中的临床应用效果。方法:回顾性分析行腔镜手术治疗的68例早期分化型甲状腺癌患者的临床资料,根据使用不同的腹腔镜成像系统分为3D腔镜组和2D腔镜组,比较2组患者围手术期相关临床指标及术后并发症情况。结果:与2D腔镜组相比,3D腔镜组手术时间更短,出血量更少,术后出现手术相关并发症的发生率更低,但2组间差异无统计学意义(P>0.05)。结论:3D腔镜甲状腺手术操作更加精细准确,能缩短手术时间,降低操作风险,提高手术效率,手术流畅性更佳。

Objective:To summarize and analyze the clinical efficacy of 3 Dand 2 Dlaparoscopic surgery in thyroidectomy for thyroid cancer.Method:Thirty-seven patients with early-differentiated thyroid cancer underwent laparoscopic surgery from August 2016 to November 2018.Their clinical data were retrospectively analyzed.They were divided into 3 Dlaparoscopic group and 2 Dlaparoscopic group based on laparoscopic imaging systems.The perioperative clinical indicators and postoperative complications of the two groups were compared.Result:Compared with the 2 Dlaparoscopic group,the 3 Dlaparoscopic group had shorter operation time and less bleeding,and the incidence of postoperative complications was less,but the differences between the two groups were not statistically significant(P>0.05).Conclusion:Compared with the 2 Dlaparoscopic thyroidectomy,3 Dlaparoscopic thyroidectomy for thyroid cancer allows higher surgical precision,shorter operation time,lower operation risk and smoother surgical procedure,thus improves surgical efficiency.