3D和2D腹腔镜右半结肠癌根治术的比较与优势  

Comparison and advantages of 3D vs.2D laparoscopic right hemicolectomy

作　　者：李乐平[1] 陈悦之[1] 靖昌庆[1] Li Leping;Chen Yuezhi;Jing Changqing(Shandong Provincial Hospital,Shandong University,Shandong 250021,China)

机构地区：[1]山东大学附属山东省立医院,250021

出　　处：《中华普外科手术学杂志（电子版）》2020年第5期449-451,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家自然科学基金面上项目(81572355);山东省重点研发计划项目(2019GSF108243);济南市科技计划项目(No.201907068)。

摘　　要：随着微创理念的普及,腹腔镜手术已成为右半结肠癌根治切除的标准术式。传统的2D腹腔镜手术虽然仍是目前的主流,但随着技术进步,3D腹腔镜手术的发展同样迅猛。相比传统的2D腹腔镜,其最大的特点在于三维立体视觉效果,使得手术的操作更精细,定位更准确。在右半结肠手术中无论是在解剖层面的拓展,Henle干的处理,淋巴结清扫还是消化道重建方面都有一定的优势。由于3D腹腔镜良好的纵深感和距离感,使得初学者能更快的适应镜下的手眼配合,增加术中操作的稳定性和精确性,减少错误操作,缩短腹腔镜右半结肠癌根治术的学习曲线。With the popularization of minimally invasive surgery,laparoscopic surgery has become the standard procedure for radical resection of right colon cancer.The conventional 2D laparoscopic surgery is still the mainstream at present,but with the development of technology,3D laparoscopic surgery is developing rapidly.Compared with the conventional 2D laparoscopy surgery,its biggest feature is the three-dimensional visual effect,which could make the operation more precise and accurate,including several advantages in radical resection of right colon cancer in terms of exposing anatomical layers,dissecting Henle’s trunk,dissecting lymph nodes as well as reconstructing digestive tract.Due to better depth and distance of 3D laparoscopic surgery,the abecedarian could adapt to the hand eye cooperation more quickly under the scope,could increase the stability and accuracy of operation,could reduce the errors in operation,and could shorten the learning curve of laparoscopic radical resection of right colon cancer.

关 键 词：结肠肿瘤 腹腔镜检查 成像 三维 右半结肠切除术 

分 类 号：R735.35[医药卫生—肿瘤]