3D与2D腹腔镜胃癌根治的优劣利弊  

Advantages and disadvantages of 3D and 2D-laparoscopy in radical resection for gastric cancer

作　　者：何裕隆[1] 蔡世荣[1] He Yulong;Cai Shirong(Gastrointestinal Surgery Center,the First AffilliatedHospital of Sun Yat-senUniversity,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院胃肠外科中心,广州市510080

出　　处：《中华普外科手术学杂志（电子版）》2020年第6期544-548,共5页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家自然科学基金(81772579);卫生部科技发展项目(W2011WAI48002);广东省自然基金重点项目(S2013020012724);国家自然科学基金项目(81272637)。

摘　　要：我国进展期胃癌占多数,治疗效果仍不容乐观。由于胃周血供来源多、需要多处血管根部处理,解剖分离层次多、范围广,淋巴引清扫区域多、操作复杂,消化道重建选择多样,传统2D腹腔镜胃癌根治手术难度大、学习曲线长。随着3D腹腔镜在普外科手术的推广和普及,其立体纵深的全新手术视野,解剖层次更加清晰,操作更加精准,给术者带来全新体验。3D腹腔镜应用于胃癌根治,可以明显缩短术者的学习曲线,尤其在胃癌根治手术中立体脉络化淋巴结清扫、膜解剖指导下的网膜囊切除、完全腹腔镜下消化道重建更显其优势。The mostgastric cancer cases were advancedin China,the surgical treatment outcomewas still dissatisfactory.Because of more regional vessles ligation,more anatomical planes dissection,more regions of lymph node dissection,more types of reconstructionanastomosis,traditional 2D-laparoscopic radical gastrectomy requires hightechniques and a long learning curve,so is a technically difficult and time-consuming procedure.With the development and popularization of 3D laparoscopic technique in general surgery,it provided a new surgical vision field of tridimensional spatial depth perception and clear anatomic planes,and a new experience of precision operation for the surgeons.3D laparoscopic radical gastrectomy can shorten a learning curve for novice surgeons,and has more advantages over 2D laparoscopy especially in tridimensional skeletonized lymphadenectomy,membrane anatomy-directed complete buesectomy and total laparoscopic digestive reconstruction.

关 键 词：胃肿瘤 腹腔镜 成像 三维 淋巴结切除术 

分 类 号：R73[医药卫生—肿瘤]