[Comparative study of three-dimensional and two-dimensional laparoscopic-assisted D2 radical gastrectomy in short-term efficacy].
[Comparative study of three-dimensional and two-dimensional laparoscopic-assisted D2 radical gastrectomy in short-term efficacy].
复制标题
三维与二维腹腔镜辅助D2胃癌根治术近期疗效对比研究
DOI：
10.3760/cma.j.issn.1671-0274.2016.05.015
复制
发表时间：
2016
影响因子：
--
通讯作者：
X. Fang
中科院分区：
文献类型：
--
作者：
Guofeng Ji;S. Qi;Fujian Ji;Youmao Tao;Chong Ma;X. Fang
客观化
目的评价三维(3D)腹腔镜辅助D2根治术治疗胃癌的优势和近期疗效。
方法
对2014年1月至2015年8月在我科施行腹腔镜辅助D2根治术的116例胃癌患者的临床资料进行回顾性分析。在116例患者中，56例接受了3D技术，60例接受了二维技术。所有的手术都是由同一个团队进行的。比较两组的手术参数、近期疗效及住院费用。
结果
两组在基线数据上没有显著差异(均为P>；0.05)。所有手术均顺利完成，无中转。与2D组相比，3D组手术时间短[(186.2±22.8)min比(198.1±26.4)min，t=2.589，P=0.011]，术中出血量少[(73.6±28.5)ml比(88.1±32.3)ml，t=2.555，P=0.012]。而清扫淋巴结(36.5±6.6比34.5±5.4，P=0.073)、首次排气时间[(3.1±1.5)天比(3.3±1.8)天，P=0.729]、住院时间[(11.7±2.9)天比(12.6±3.1)天，P=0.088]、术后并发症发生率[8.9%(5/56)比11.7%(7/60)，住院费用分别为(8.6±1.4)×10(4)元和(8.1±1.2)×10(4)元，P=0.055。
结论
三维腹腔镜辅助D2根治术可能比二维腹腔镜辅助D2根治术更具优势。
OBJECTIVE
To evaluate the advantage and short-term efficacy of three-dimensional (3D) laparoscopic-assisted D2 radical gastrectomy for gastric cancer.
METHODS
Clinical data of 116 gastric cancer patients who underwent laparoscopic-assisted D2 radical gastrectomy in our department from January 2014 to August 2015 were analyzed retrospectively. Among 116 patients, 56 received 3D and 60 received two-dimensional(2D) technique respectively. All the surgeries were performed by the same team. The operative parameters, short-term efficacy and hospital expense were compared between the two groups.
RESULTS
There were no significant differences between the two groups in baseline data(all P>0.05). All the operations were performed successfully without conversion. Compared with 2D group, 3D group had shorter operative time [(186.2±22.8) minutes vs. (198.1±26.4) minutes, t=2.589, P=0.011], less intraoperative blood loss [(73.6±28.5) ml vs. (88.1±32.3)ml, t=2.555, P=0.012]. Whereas no significant differences in dissected lymph nodes(36.5±6.6 vs. 34.5±5.4, P=0.073), time to first flatus[(3.1±1.5) days vs. (3.3±1.8) days, P=0.729], length of hospital stay[(11.7±2.9) days vs. (12.6±3.1) days, P=0.088], incidence of postoperative complications [8.9%(5/56) vs. 11.7%(7/60), P=0.628] and hospitalization cost [(8.6±1.4)×10(4) yuan vs. (8.1±1.2)×10(4) yuan, P=0.055] were found between two groups.
CONCLUSION
Three-dimensional laparoscopic-assisted D2 radical gastrectomy may be advantageous over two-dimensional laparoscopic-assisted D2 radical gastrectomy.