中华普通外科学文献（电子版）
中華普通外科學文獻（電子版）
중화보통외과학문헌（전자판）
Chinese Archives of General Surgery(Electronic Edition)
2015年
5期
369-372
,共4页
黄江龙%郑宗珩%刘健培%魏波%陈图锋%黄勇%方佳峰%卫洪波
黃江龍%鄭宗珩%劉健培%魏波%陳圖鋒%黃勇%方佳峰%衛洪波
황강룡%정종형%류건배%위파%진도봉%황용%방가봉%위홍파
3D腹腔镜%胃肠肿瘤%手术时间%出血量
3D腹腔鏡%胃腸腫瘤%手術時間%齣血量
3D복강경%위장종류%수술시간%출혈량
3D laparoscope%Gastrointestinal tumor%Operative time%Blood loss
目的 探讨3D腹腔镜在胃肠肿瘤手术中的应用. 方法 回顾性分析2013年10月至2015年6月应用Olympus 3D腹腔镜系统完成手术44例的临床资料, 其中右半结肠切除术12例,左半结肠切除3例,乙状结肠切除11例,低位直肠前切除术10例,远端胃癌根治术8例,统计分析手术时间﹑出血量﹑术后住院时间等数据. 结果 44例胃肠肿瘤腹腔镜手术均获成功,无中转开腹. 手术时间为(173.52±48.65) min,术中出血量为(71.59±35.17) ml,术后住院时间为(8.66±2.21) d.结论 3D腹腔镜成像系统还原了三维立体手术视野,手术解剖更精细,从而减少手术并发症发生,降低手术难度,缩短手术时间,具有腹腔镜和开腹的优势,适合更复杂的腹腔镜手术.
目的 探討3D腹腔鏡在胃腸腫瘤手術中的應用. 方法 迴顧性分析2013年10月至2015年6月應用Olympus 3D腹腔鏡繫統完成手術44例的臨床資料, 其中右半結腸切除術12例,左半結腸切除3例,乙狀結腸切除11例,低位直腸前切除術10例,遠耑胃癌根治術8例,統計分析手術時間﹑齣血量﹑術後住院時間等數據. 結果 44例胃腸腫瘤腹腔鏡手術均穫成功,無中轉開腹. 手術時間為(173.52±48.65) min,術中齣血量為(71.59±35.17) ml,術後住院時間為(8.66±2.21) d.結論 3D腹腔鏡成像繫統還原瞭三維立體手術視野,手術解剖更精細,從而減少手術併髮癥髮生,降低手術難度,縮短手術時間,具有腹腔鏡和開腹的優勢,適閤更複雜的腹腔鏡手術.
목적 탐토3D복강경재위장종류수술중적응용. 방법 회고성분석2013년10월지2015년6월응용Olympus 3D복강경계통완성수술44례적림상자료, 기중우반결장절제술12례,좌반결장절제3례,을상결장절제11례,저위직장전절제술10례,원단위암근치술8례,통계분석수술시간﹑출혈량﹑술후주원시간등수거. 결과 44례위장종류복강경수술균획성공,무중전개복. 수술시간위(173.52±48.65) min,술중출혈량위(71.59±35.17) ml,술후주원시간위(8.66±2.21) d.결론 3D복강경성상계통환원료삼유입체수술시야,수술해부경정세,종이감소수술병발증발생,강저수술난도,축단수술시간,구유복강경화개복적우세,괄합경복잡적복강경수술.
Objective To explore the application of 3D imaging system in gastrointestinal tumor operation. Methods From October 2013 to June 2015, a total of forty-four cases of Olympus 3D laparo-scopic surgeries were enrolled in the study including 12 cases of right hemicolectomy, 3 cases of left hemi-colectomy, 11 cases of sigmoidectomy, 10 cases of low anterior resection for rectal cancer, and 8 cases of dis-tal gastrectomy. The data of operative time, blood loss, and postoperative hospital stay were collected. Results The 3D laparoscopic surgeries were carried out successfully. No patient was converted to conventional opera-tion. The mean time of surgery was (173.52±48.65) min, the intraoperative blood loss was (71.59±35.17) ml, and the mean postoperative hospital stay was (8.66±2.21) d. Conclusion 3D imaging system can provide clearly 3D visual operative field and more precise operation with reduced complications, and helps to de-crease the operation difficulty and time. The system has the superiorities of both laparoscope and open surgery, and is suitable for more complex laparoscopic surgery.
