2D与3D胸腔镜模式下肺癌手术的对比研究  

Comparative study of three-dimensional versus two-dimensional video-assisted thoracoscopy in the treatment of lung cancer

作　　者：沈正海[1] 胡早秀[1] 杨璋[1] 叶联华[1] 杨延龙[1] 赵光强[1] 雷玉洁[1] 陈安宁[1] 黄云超[1] 

机构地区：[1]昆明医科大学第三附属医院胸外一科,云南昆明650106

出　　处：《云南医药》2017年第4期325-328,共4页Medicine and Pharmacy of Yunnan

摘　　要：目的本文旨在评价2D与3D高清胸腔镜下对肺癌手术的临床应用价值。方法选取2016年8月-2017年3月90例行2D和50例行3D胸腔镜下肺叶切除及淋巴结清扫的手术患者,比较2组患者围手术期相关指标。结果 2组均无中转开胸及围术期死亡病例。3D-VATS组与2D-VATS组比较,肺癌完全切除术手术时间明显缩短(分别为110.12vs122.66min,P<0.05),术中出血量亦明显减少(分别为98.8vs123m L,P<0.05),且差异具有统计学意义。2组间性别、年龄、肿瘤部位、术后外科分期(p-TNM)、肺功能、清扫淋巴结数、总胸引量、术后胸管时间、术后住院日、术后并发症差异无统计学意义(P>0.05)。结论 3D高清胸腔镜是技术的又一进步,有助于促进肿瘤内镜治疗领域的提高。相比较于2D系统,3D胸腔镜在肺癌手术治疗中是安全可行的,术中失血量减少,手术时间更短。Objective To compare the clinical application value of two-dimensional （2D）and three-dimensional （3D） VATS in the treatment of lung cancer. Methods 90 patients with 2D and 50 patients with 3D underwent thoracoscopic lobectomy and lymph node dissection were analyzed from August 2016 to March 2017. The operative and perioperative data between 2D VATS and 3D VATS were compared. Results There was no conversion to open chest and perioperative death in the two groups. Lung cancer resection operation time was significantly shortened （110.12vs122.66min, P 〈 0.05） , blood loss was significantly reduced （98.8vs123mL, P 〈 0.05）,and the differences were statistically significant. There was no statistically significant difference in gender, age, tumor location, postoperative surgical staging （p-TNM）, pulmonary function, the number of lymph nodes, chest-tube drainage, chest tube time, hospital stay, and postoperative complications. Conclusion 3D VATS is a new technology, which is helpful to promote the improvement of endoscopic therapy. Compared with the 2D system, 3D thoracoscopic surgery is safe and feasible in the treatment of lung cancer, the blood loss is reduced and the operation time is shorter.

关 键 词：肺癌 二维 三维 电视胸腔镜 

分 类 号：R734[医药卫生—肿瘤]