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目的:比较3D腹腔镜和2D腹腔镜根治性肾切除术疗效,评价3D腹腔镜根治性肾切除术的实用性、安全性及疗效。方法:2014年1~10月手术治疗肾脏恶性肿瘤50例,其中采用3D腹腔镜根治性肾切除术治疗30例(3D组),采用2D腹腔镜根治性肾切除术治疗20例(2D组)。所有手术均有同一人完成。对两种手术时间、术中出血量、术后胃肠道恢复时间(以排气为准)、术后住院天数、并发症发生率、手术总费用等进行比较并进行统计学分析。结果:3D组和2D组平均手术时间分别为89.03min和109.80min,前者手术时间明显短于后者(P<0.01);术中出血量分别为100.60ml和143.00ml,前者明显少于后者(P<0.01);术中及术后均未出现任何并发症,二者手术费用无明显差别。结论:3D腹腔镜根治性肾切除术安全有效,与2D腹腔镜术相比,3D腹腔镜在手术时间、术中出血量方面优于传统2D腹腔镜,且二者手术费用无明显差别。
OBJECTIVE: To compare the efficacy of 3D laparoscopic and 2D laparoscopic radical nephrectomy and evaluate the practicability, safety and efficacy of 3D laparoscopic radical nephrectomy. Methods: From January to October 2014, 50 cases of renal malignant tumors were treated surgically. Thirty patients underwent 3D laparoscopic radical nephrectomy (3D group) and 20 cases underwent 2D laparoscopic radical nephrectomy (2D group) . All operations are the same person to complete. The two operation time, intraoperative blood loss, postoperative gastrointestinal recovery time (exhaust), postoperative hospital days, the incidence of complications, the total cost of surgery were compared and statistically analyzed. Results: The average operation time of 3D group and 2D group were 89.03min and 109.80min respectively, the former was shorter than the latter (P <0.01). The intraoperative blood loss was 100.60ml and 143.00ml, the former was significantly less than the latter (P <0.01). No complications occurred during and after surgery. There was no significant difference in the cost of surgery between the two groups. Conclusions: 3D laparoscopic radical nephrectomy is safe and effective. Compared with 2D laparoscopy, 3D laparoscopy is superior to traditional 2D laparoscopy in terms of operation time and intraoperative blood loss, and there is no significant difference between the two methods.