临床研究3D高清腹腔镜在腹腔镜胃癌根治术中的应用.pdfVIP

·588 · doi 10.3969/j.issn. 1673-4254.2014.04.33 J South Med Univ, 2014, 34(4): 588-590 临床研究 33DD 高清腹腔镜在腹腔镜胃癌根治术中的应用高清腹腔镜在腹腔镜胃癌根治术中的应用 陈海金，俞金龙，黄宗海，林晓华 南方医科大学珠江医院普外科，广东 广州 510282 摘要：目的探讨3D 高清腹腔镜在腹腔镜胃癌根治术中的临床应用价值。方法 选取我院2013 年1月~2013 年12月分别采用 3D 高清腹腔镜（3D 组）和2D 高清腹腔镜（2D 组）行胃癌根治术各40 例，对比两组在手术持续时间、术中失血量、学习曲线、住院 花费等方面的差异。结果 手术持续时间3D 高清腹腔镜组2.8±0.6 h ，明显低于2D 高清腹腔镜组3.2±0.8 h（P=0.032），两组相比 有明显差异（P0.05）。术中失血量3D 高清腹腔镜组110± 18 ml ，2D 高清腹腔镜组120±21 ml ，两组相比无统计学上差异（P= 0.543）。住院花费3D 高清腹腔镜组7.5± 1.6 万元，2D 高清腹腔镜组7.1± 1.3 万元，两组相比无统计学上差异（P=0.162）。结论 3D 高清腹腔镜能提供清晰的三维立体视觉，良好的深度感，可实现精确操作，缩短手术时间。并且，在3D 高清视野下能更快地 提高外科医生的手术操作能力和手术技巧，明显缩短学习曲线。 关键词：3D ；2D ；腹腔镜；胃癌根治术 Application of three-dimensional high-definition laparoscope in laparoscopic radical resection of gastric cancer CHEN Haijin, YU Jinlong, HUANG Zonghai, LIN Xiaohua Department of General Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China Abstract: Objective To investigate the clinical value of three-dimensional (3D) high-definition (HD) laparoscope in laparoscopic radical resection of gastric cancer. Methods From January to December, 2013, 40 patients underwent radical resection of gastric cancer with 3D HD laparoscopy (3D group) and another 40 patients received 2D HD laparoscopy (2D group). The duration of surgery, intra-operative blood loss, learning curve, and costs during hospitalization were compared between the two groups. Results The average operation duration of 3D group was 2.8±0.6 h, significantly shorter that in the 2D group (3.2±0.8 h, P0.05); the intraoperative blood loss in the 3D group was significantly less than that in the 2D group (110±18 ml vs 120± 21 ml, P0.05). The mean hospitalization cost was 75 000 ± 16 000 RMB Yuan in 3D group, similar to significantly lower than that of 71 000 ± 13 000 RMB Yuan in 2D group (P0.05).