[Application of three-dimensional laparoscopic cholecystectomy for complicated gallstone disease].
[Application of three-dimensional laparoscopic cholecystectomy for complicated gallstone disease].
复制标题
三维腹腔镜胆囊切除术在复杂性胆石疾病中的应用[J].
DOI：
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发表时间：
2016
影响因子：
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通讯作者：
Wenjie Huang
中科院分区：
文献类型：
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作者：
N. Zeng;C. Fang;Jian Yang;N. Xiang;Wen Zhu;J. Liu;Qing;Hongbo Liang;Wenjie Huang
目的
探讨三维腹腔镜胆囊切除术治疗复杂胆囊结石疾病的临床价值。
方法
2014年3月至2015年3月，46例患者在3D腹腔镜下（3D组）因复杂性胆囊结石疾病接受胆囊切除术，43例患者接受2D腹腔镜胆囊切除术（2D组）。比较两组手术时间、术中出血量、中转开腹率、术后肠蠕动恢复时间及住院时间。
结果
3D组43例成功完成腹腔镜胆囊切除术，2D组39例成功完成腹腔镜胆囊切除术，中转开腹率两组相似（P>0.05）。3D组中位手术时间明显短于2D组（50.5 ± 15.2 vs 65.4 ± 18.1 min，P<0.05），术中出血量明显少于2D组（34.1 ± 13.6 vs 44.5 ± 22.3 mL，P>0.05）。两组患者术后肠蠕动恢复时间、术后住院时间比较差异无统计学意义（P>0.05）。
结论
3D腹腔镜提供了具有良好深度感的三维视觉，允许精确的手术操作，可以缩短手术时间，降低复杂胆石症患者行3D腹腔镜胆囊切除术的中转开腹率。
OBJECTIVE
To investigate the clinical value of three-dimensional (3D) laparoscopic cholecystectomy in the treatment of complicated gallstone disease.
METHODS
From March 2014 to March 2015, 46 patients underwent cholecystectomy for complicated gallstone disease under 3D laparoscopy (3D group) and 43 received 2D laparoscopic cholecystectomy (2D group). The surgical data including the operative time, intraoperative blood loss, the rate of conversion to open laparotomy, recovery time of postoperative bowel motion and hospital stay were compared between the 2 groups.
RESULTS
Laparoscopic cholecystectomy was successfully completed in 43 patients in 3D group and in 39 patients in 2D group, and the rates of conversion to open laparotomy were similar between the two groups (P>0.05). The median operation time was significantly shorter in 3D group than in 2D group (50.5∓15.2 vs 65.4∓18.1 min, P<0.05), and the median volume of intraoperative blood loss was significantly smaller in 3D group (34.1∓13.6 vs 44.5∓22.3 mL, P>0.05). No significant differences were found in the recovery time of postoperative bowel motion and postoperative hospital stays between the two groups (P>0.05).
CONCLUSION
3D laparoscopy, which provides three-dimensional vision with a good sense of depth to allow precise surgical manipulation, can shorten the operation time and reduce the rate of conversion to open laparotomy for patients undergoing 3D laparoscopic cholecystectomy for complicated gallstone disease.