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目的对比分析3D和2D腹腔镜胃癌根治术的临床疗效。方法回顾性分析2015年11月至2016年11月解放军总医院普通外科同一手术组实施腹腔镜手术治疗的156例胃癌病人临床资料,其中行3D腹腔镜胃癌根治术70例(3D组),2D腹腔镜胃癌根治术86例(2D组),比较两组病人术中及术后相关指标。结果与2D组相比,3D组病人手术时间更短[(232.9±95.8)min vs.(202.4±89.7)min,P=0.044],术中出血更少[(152.8±41.0)m L vs.(138.9±42.0)m L,P=0.039]。在淋巴结清扫数、阳性淋巴结数、术后排气时间、住院时间、住院费用、术后并发症发生率及严重程度方面,组间差异均无统计学意义(P>0.05)。结论 3D腹腔镜胃癌根治术能获得与2D腹腔镜手术相近的临床短期疗效,同时缩短了手术时间和减少了术中出血。
Objective To compare and analyze the clinical efficacy of 3D and 2D laparoscopic radical gastrectomy. Methods The clinical data of 156 patients with gastric cancer undergoing laparoscopic surgery from November 2015 to November 2016 in the General Surgery General Hospital of PLA General Surgery were retrospectively analyzed. Among them, 70 patients (3D group) underwent 3D laparoscopic radical gastrectomy, 2D There were 86 cases of laparoscopic radical gastrectomy (2D group), and the indexes of intraoperative and postoperative were compared between the two groups. Results Compared with 2D group, patients in 3D group had shorter operative time (232.9 ± 95.8) min vs (202.4 ± 89.7) min, P = 0.044 and less bleeding during operation (152.8 ± 41.0) m L vs. (138.9 ± 42.0) m L, P = 0.039]. There was no significant difference between the two groups in the number of lymph node dissection, the number of positive lymph nodes, the time of postoperative exhaust, the length of stay, the cost of hospitalization, the incidence of postoperative complications and the severity of the disease (P> 0.05). Conclusion 3D laparoscopic radical gastrectomy can achieve clinical short-term curative effect similar to 2D laparoscopic surgery, meanwhile shortening operation time and reducing intraoperative bleeding.