CAJ | 학술논문

目的：探讨3D腹腔镜在疝修补术中应用的可行性及术中感受、手术技巧。方法从2012年9月~2014年3月对12例单侧腹股沟疝患者在3D腹腔镜系统辅助下行经腹膜前疝修补术,对术中感受、手术技巧进行总结,同时统计手术时间、术中出血量、术后住院时间。结果12例3D腹腔镜系统辅助下行腹膜前疝修补术均获得成功,术中无重要血管、神经的损伤,均无手术并发症。手术时间平均(40.2±10.7)min,术中出血平均(7.2±3.5)ml,术后住院时间(3.5±0.8)d。结论3D腹腔镜系统能使手术医师术中获得三维视觉效果,更容易学习及适应,容易被外科医师接受,在3D腹腔镜系统辅助下行经腹膜前疝修补术,术中视野清晰、层次分明、定位准确,有利于提高医师对组织辨认的精确性,特别有利于镜下缝合,不易造成副损伤,可降低并发症的发生率,不增加住院费用,值得推广应用。
목적：탐토3D복강경재산수보술중응용적가행성급술중감수、수술기교。방법종2012년9월~2014년3월대12례단측복고구산환자재3D복강경계통보조하행경복막전산수보술,대술중감수、수술기교진행총결,동시통계수술시간、술중출혈량、술후주원시간。결과12례3D복강경계통보조하행복막전산수보술균획득성공,술중무중요혈관、신경적손상,균무수술병발증。수술시간평균(40.2±10.7)min,술중출혈평균(7.2±3.5)ml,술후주원시간(3.5±0.8)d。결론3D복강경계통능사수술의사술중획득삼유시각효과,경용역학습급괄응,용역피외과의사접수,재3D복강경계통보조하행경복막전산수보술,술중시야청석、층차분명、정위준학,유리우제고의사대조직변인적정학성,특별유리우경하봉합,불역조성부손상,가강저병발증적발생솔,불증가주원비용,치득추엄응용。
Objective To investigate the feasibility and surgical skil s of 3D laparoscopic hernia repair. Methods 12 patients who suf ered from Inguinal hernia , undergoing operation from September 2012 to March 2014 were analyzed retrospectively. Al of them were operation with 3D laparoscopic hernia repair. The operative time , intraoperative blood loss, postoperative hospital stay were recorded.Results Al of the operations were successful y performed without postoperative complications. The mean operation time was (40.2±10.7) minutes. The mean blood loss was (7.2±3.5) ml. The mean postoperative hospital stay was (3.5±0.8) days. Conclusion 3D Laparoscopic devices ,which give doctors the 3D view, clear Surgical field, make the anatomy as clear as possible, was easy to be accepted by surgeons. The use of it is conducive to decrease the incidence of operative complications, especial y in laparoscopic suture.