摘要
目的比较三维与二维腹腔镜成像系统在胃癌根治术脾门淋巴结清扫中的应用价值。方法回顾性分析2017年12月至2019年6月于郑州大学人民医院胃肠外科行腹腔镜全胃切除手术的83例进展期胃癌患者的临床资料。将术中使用二维腹腔镜成像系统的43例患者纳入二维组,将术中使用三维腹腔镜成像系统的40例患者纳入三维组。比较两组患者的手术指标、术后恢复情况及并发症发生率等。结果与二维组比较,三维组手术总用时和清扫脾门淋巴结用时均较短,术中出血量较少,脾脏误伤率较低,差异有统计学意义(均P<0.05)。两组脾门淋巴结清扫个数、术后并发症发生率、术后肛门排气时间、经口进食时间、住院时长、住院总花费比较,差异无统计学意义(均P>0.05)。结论与二维腹腔镜成像系统相比,三维腹腔镜成像系统在脾门淋巴结清扫中具有较大的优势,其有助于缩短手术用时,减少术中出血量,降低脾脏损伤的可能性。
Objective To compare the application value of three-dimensional and two-dimensional laparoscopic imaging systems in splenic hilar lymph node dissection during radical gastrectomy for gastric cancer.Methods A retrospective analysis was performed on the clinical data of 83 patients with advanced gastric cancer who underwent laparoscopic total gastrectomy from December 2017 to June 2019 in People’s Hospital of Zhengzhou University. Forty-three patients using the two-dimensional laparoscopic imaging system during the operation were included in the two-dimensional group, and 40 patients using the three-dimensional laparoscopic imaging system during the operation were included in the three-dimensional group. The operation index, postoperative recovery and complication rate of the two groups were compared.Results Compared with the two-dimensional group, the total operation time and the time for clearing splenic hilar lymph nodes in the three-dimensional group were shorter, and the amount of bleeding during the operation was less, and the accidental injury rate of spleen was lower, while the differences were statistically significant(all P<0.05). The number of splenic hilar lymph node dissections, the incidence of postoperative complications, the time of postoperative anal exhaust, the time of oral feeding, the length of hospital stay and the total cost of hospitalization were not statistically significant between the two groups(all P>0.05).Conclusion Compared with the two-dimensional laparoscopic imaging system, the three-dimensional laparoscopic imaging system has greater advantages in splenic hilar lymph node dissection, which is helpful to shorten the operation time, reduce the amount of intraoperative bleeding and reduce the possibility of splenic injury.
作者
李冉
孙培焱
吴刚
孙培春
LI Ran;SUN Pei-yan;WU Gang;SUN Pei-chun(Gastrointestinal Surgery,People’s Hospital of Zhengzhou University,Zhengzhou 450003,China)
出处
《河南医学研究》
CAS
2020年第10期1746-1749,共4页
Henan Medical Research
基金
河南省医学科技攻关计划项目(201602203)。
关键词
腹腔镜胃癌根治术
脾门淋巴结清扫
三维腹腔镜
二维腹腔镜
laparoscopic radical gastrectomy
lymph node dissection of splenic hilus
three-dimensional laparoscopy
two-dimensional laparoscopy
