直肠癌进展期应用3D腹腔镜行根治性手术临床观察.docVIP

直肠癌进展期应用3D腹腔镜行根治性手术临床观察 　　【摘要】 目的：探讨三维成像系统（3D）在腹腔镜下进展期直肠癌根治术中的应用价值和临床效果。方法：选取2015年2月-2016年10月本院收治的进展期直肠癌患者53例，按照随机数字表法分为对照组（n=26）与观察组（n=27）。对照组接受传统2D系统下腹腔镜直肠癌根治术，观察组则在3D成像系统下接受同样术式治疗。记录并对比两组术中情况（手术时间、术中出血量、淋巴结清扫数）、术后情况（排气时间、并发症发生率）和住院情况（住院时间、住院费用）。结果：观察组手术时间更短，术中出血量更少，淋巴结清扫数目更多（P0.05）。结论：对进展期直肠癌患者应用3D腹腔镜进行根治性手术治疗，能够缩短手术时间，减少术中出血量，并增加淋巴结清扫数目，与传统2D腹腔镜手术相比，有一定优势。 　　【关键词】 三维成像系统； 腹腔?R； 直肠癌根治术； 进展期 　　Clinical Observation of Laparoscopic 3D Radical Operation for Advanced Rectal Cancer/OU Ying-hao，LIANG Li-ting，CHEN Xiao，et al.//Medical Innovation of China，2017，14（14）：032-035 　　【Abstract】 Objective：To evaluate the clinical value of three-dimensional imaging system （3D） in laparoscopic radical resection of rectal cancer.Method：A total of 53 cases of advanced rectal cancer in our hospital from February 2015 to October 2016 were enrolled in the study and were divided into the control group（n=26） and the observation group（n=27）.The control group was taken with laparoscopic radical resection of rectal cancer under traditional 2D system，while the observation group was taken with the same surgical treatment under the 3D imaging system.Intraoperation situation（operation time，intraoperative bleeding，lymph nodes），postoperative condition（exhaust time，complication rate） and hospitalization （hospitalization time，hospitalization expenses） of two groups were recorded and compared.Result：The observation group had shorter operation time，less blood loss and more lymph node dissection（P0.05）.Conclusion：The application of 3D laparoscopic radical operation for patients with advanced rectal cancer can shorten the operation time，reduce the amount of intraoperative blood loss，increase the number of lymph node dissection，compared with traditional 2D laparoscopic surgery，there are certain advantages. 　　【Key words】 Three dimensional imaging system； Laparoscopy； Radical resection of rectal cancer； Advanced 　　First-author’s address：The First People’s Hospital of Zhaoqing，Zhaoqing 526040，China