4K超高清腹腔镜治疗直肠癌的短期临床效果研究  

Short-term clinical efficacy of 4K ultra hd laparoscopy in the treatment of rectal cancer

作　　者：庄海文[1] 王健[1] 赵海剑[1] 张晓雨[1] ZHUANG Hai-wen;WANG Jian;ZHAO Hai-jian;ZHANG Xiao-yu(Department of Gastrointestinal Surgery,Huai′an Second People′s Hospital,Jiangsu Province,Huai′an 223002,China)

机构地区：[1]江苏省淮安市第二人民医院胃肠外科,江苏淮安223002

出　　处：《中国当代医药》2021年第26期120-122,129,F0003,共5页China Modern Medicine

基　　金：江苏省第十五批“六大人才高峰”高层次人才选拔培养资助项目(2018-WSW-291)。

摘　　要：目的探讨4K超高清腹腔镜治疗直肠癌的短期临床效果。方法选取2018年1月至2020年10月淮安市第二人民医院收治的行腹腔镜直肠癌根治术60例患者的临床资料进行回顾性分析,按照手术使用的不同腹腔镜系统分为4K组与2D组,各30例。4K组手术使用德国埃克森4K超高清腹腔镜系统,2D组手术使用德国Storz高清腹腔镜系统。比较两组手术时间、术中出血量、淋巴结获取数、术后排气时间、术后首次下床时间及术后并发症。结果60例患者均顺利完成腹腔镜手术。4K组的手术时间短于2D组,术中出血量少于2D组,差异有统计学意义(P<0.05)。两组的淋巴结获取数、术后排气时间、术后首次下床时间及术后并发症发生率比较,差异无统计学意义(P>0.05)。结论4K超高清腹腔镜系统与2D高清腹腔镜系统具有相同的安全性与有效性,短期疗效确切。相比2D高清腹腔镜系统,4K超高清腹腔镜系统能够减少腹腔镜直肠癌手术的手术时间和术中出血量。Objective To investigate the short-term clinical effect of 4K ultra high definition laparoscopy in the treatment of rectal cancer.Methods Clinical data of 60 patients who underwent laparoscopic radical resection of rectal cancer in Huai′an Second People′s Hospital from January 2018 to October 2020 were retrospectively analyzed.According to different laparoscopic systems used in surgery,the patients were divided into 4K group and 2D group,with 30 patients in each group.The 4K group was operated with German Xion 4K Ultra High Definition laparoscopic system,while the 2D group was operated with German Storz High Definition laparoscopic system.The operative time,intraoperative blood loss,number of lymph nodes,postoperative exhaust time,postoperative first time out of bed and postoperative complications were compared between the two groups.Results All 60 patients successfully completed laparoscopic surgery.The operation time of 4K group was shorter than that of 2D group,the intraoperative blood loss of 4K group was less than that of 2D group,and the differences were statistically significant(P<0.05).There were no significant differences in the number of lymph nodes acquired,postoperative exhaust time,postoperative first time out of bed and incidence of postoperative complications between two groups(P>0.05).Conclusion The 4K ultra high definition laparoscopic system has the same safety and effectiveness as the 2D high-definition laparoscopic system.The short-term outcome is efficient.Compared with the 2D high definition laparoscopic system,the 4K ultra high-definition laparoscopic system can reduce the operative time and intraoperative blood loss in laparoscopic rectal cancer surgery.

关 键 词：直肠癌根治术 4K超高清 腹腔镜 并发症 

分 类 号：R735.3[医药卫生—肿瘤]