3D腹腔镜右半结肠癌根治术的优劣与利弊  

Right radical hemicolectomy by using 3D laparoscopy:advantages and disadvantages

作　　者：姚宏伟[1] 高加勒 张忠涛[1] Yao Hongwei;Gao Jiale;Zhang Zhongtao(Department of General Surgery,Beijing Friendship Hospital,Capital Medical University,&National Clinical Research Center for Digestive Diseases,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院普通外科,北京100050

出　　处：《中华普外科手术学杂志（电子版）》2020年第5期438-440,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家科技支撑计划课题(2015BAI13B09);北京市临床重点专科基金(卓越项目,2018-118);北京市医院管理局临床医学发展专项基金(ZYLX201504);首都医科大学附属北京友谊医院科研启动基金(YYQDKT2016-5)。

摘　　要：随着3D技术的发展,3D腹腔镜手术在治疗右半结肠癌中已经得到了广泛的应用,其良好的深度知觉和空间定向力有助于术者进行解剖结构辨认以及精细操作,然而在手术体验方面仍存在眩晕、视觉疲劳方面的问题。在手术治疗效果方面,3D腹腔镜暂未显现出颠覆性的优势,需要进一步的高质量循证医学证据。随着科技的发展,3D腹腔镜的技术缺陷正在逐步完善,未来能否在结肠癌手术领域中成为主流,仍然值得期待。With the development of 3D technology,3D laparoscopic surgery has been widely used in the right radical hemicolectomy for colon cancer,with the advantages of depth perception and spatial orientation,and the surgeons could be able to recognize anatomical structure and operate more precisely.However,dizziness and visual fatigue are still problems for surgeons.In terms of the surgical outcomes,3D laparoscopic surgery has not shown the disruptive advantage,and the further high-quality evidence is still needed.With the development of science and technology,the defects of 3D laparoscopy have been improved,whether it could be main current in the right hemicolectomy still worthy of expectation.

关 键 词：结直肠肿瘤 腹腔镜检查 3D腹腔镜 右半结肠切除术 

分 类 号：R735.35[医药卫生—肿瘤]