南方医科大学学报
南方醫科大學學報
남방의과대학학보
JOURNAL OF SOUTHERN MEDICAL UNIVERSITY
2014年
4期
588-590
,共3页
陈海金%俞金龙%黄宗海%林晓华
陳海金%俞金龍%黃宗海%林曉華
진해금%유금룡%황종해%림효화
3D%2D%腹腔镜%胃癌根治术
3D%2D%腹腔鏡%胃癌根治術
3D%2D%복강경%위암근치술
three-dimensional laparoscope%laparoscopy%radical resection%gastric cancer
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(P<0.05)。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。
目的:探討3D高清腹腔鏡在腹腔鏡胃癌根治術中的臨床應用價值。方法選取我院2013年1月~2013年12月分彆採用3D高清腹腔鏡(3D組)和2D高清腹腔鏡(2D組)行胃癌根治術各40例,對比兩組在手術持續時間、術中失血量、學習麯線、住院花費等方麵的差異。結果手術持續時間3D高清腹腔鏡組2.8±0.6 h,明顯低于2D高清腹腔鏡組3.2±0.8 h(P=0.032),兩組相比有明顯差異(P<0.05)。術中失血量3D高清腹腔鏡組110±18 ml,2D高清腹腔鏡組120±21 ml,兩組相比無統計學上差異(P=0.543)。住院花費3D高清腹腔鏡組7.5±1.6萬元,2D高清腹腔鏡組7.1±1.3萬元,兩組相比無統計學上差異(P=0.162)。結論3D高清腹腔鏡能提供清晰的三維立體視覺,良好的深度感,可實現精確操作,縮短手術時間。併且,在3D高清視野下能更快地提高外科醫生的手術操作能力和手術技巧,明顯縮短學習麯線。
목적:탐토3D고청복강경재복강경위암근치술중적림상응용개치。방법선취아원2013년1월~2013년12월분별채용3D고청복강경(3D조)화2D고청복강경(2D조)행위암근치술각40례,대비량조재수술지속시간、술중실혈량、학습곡선、주원화비등방면적차이。결과수술지속시간3D고청복강경조2.8±0.6 h,명현저우2D고청복강경조3.2±0.8 h(P=0.032),량조상비유명현차이(P<0.05)。술중실혈량3D고청복강경조110±18 ml,2D고청복강경조120±21 ml,량조상비무통계학상차이(P=0.543)。주원화비3D고청복강경조7.5±1.6만원,2D고청복강경조7.1±1.3만원,량조상비무통계학상차이(P=0.162)。결론3D고청복강경능제공청석적삼유입체시각,량호적심도감,가실현정학조작,축단수술시간。병차,재3D고청시야하능경쾌지제고외과의생적수술조작능력화수술기교,명현축단학습곡선。
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, P<0.05);the intraoperative blood loss in the 3D group was significantly less than that in the 2D group (110±18 ml vs 120 ± 21 ml, P>0.05). 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 (P>0.05). Conclusion 3D HD laparoscopy can provide three-dimensional vision and better sense of depth to facilitate precise operation and shorten the operation time. The high-definition 3D vision also allows surgeons to quickly improve surgical skills and shorten the learning curve.