3D腹腔镜在根治性膀胱切除术中的疗效、安全性及优势  

Therapeutic efficacy,safety and advantages of 3D laparoscopy in radical cystectomy

作　　者：赵少成[1] 孙元星[1] 胡生银[1] 张慧文 曹海东 ZHAO Shaocheng;SUN Yuanxing;HU Shengyin;ZHANG Huiwen;CAO Haidong(Department of Urology Surgery,the Fifth People’s Hospital of Datong,Shanxi,Datong 037001,China)

机构地区：[1]山西省大同市第五人民医院泌尿外科,山西大同037001

出　　处：《中国医药科学》2022年第12期116-120,共5页China Medicine And Pharmacy

基　　金：山西省大同市重点研发计划项目(2018084)。

摘　　要：目的研究3D腹腔镜在根治性膀胱切除术中的疗效、安全性及3D腹腔镜的优势。方法选取大同市第五人民医院2018年1月至2020年10月行腹腔镜根治性膀胱切除术的患者58例,其中研究组应用3D腹腔镜技术30例,男22例,女8例;对照组应用2D腹腔镜技术28例,男21例,女7例。比较两组患者一般资料、术中手术时间、出血量、输血率、术后住院时间、切缘阳性等临床资料和临床疗效、术中术者视觉舒适度主观感受。结果研究组手术时间、术后住院时间明显短于对照组,术中出血量明显少于对照组,差异有统计学意义(P<0.05);研究组术中术者视觉舒适度主观感受评分明显高于对照组,差异有统计学意义(P<0.05);两组输血率比较,差异无统计学意义(P>0.05)。两组患者术后病理切缘均为阴性。术后均随访6个月,随访期内均未出现肿瘤复发。结论3D腹腔镜技术空间定位更好,降低了手术难度和手术风险,提高了手术安全性和手术效率。Objective To research the therapeutic efficacy,safety and advantages of 3D laparoscopy in radical cystectomy.Methods The medical history of 58 cases undergoing laparoscopy in radical cystectomy in the Fifth People’s Hospital of Datong from January 2018 to October 2020 were investigated,and they were divided into the study group(n=30,including 22 males and 8 females)and the control group(n=28,including 21 males and 7 females).The study group was applied with 3D laparoscopic technology,while the control group was applied with 2D laparoscopic technology.The general data of patients were compared between the two groups,including clinical data such as intraoperative operation time,hemorrhage volume,blood transfusion rate,postoperative hospitalization time,positive margin,and clinical efficacies,subjective perception of operator’s intraoperative visual comfort.Results The operation time and postoperative hospitalization time in th e study group were significantly shorter than those in the control group,and the intraoperative hemorrhage volume was significantly less than that in the control group,with statistically significant differences(P<0.05).The subjective perception score of operator’s intraoperative visual comfort in the study group was significantly higher than that in the control group,with statistically significant differences(P<0.05).There were no statistically significant differences in blood transfusion rate between the two groups(P>0.05).Postoperative pathological margin was negative in both groups of patients.All patients were followed up for 6 months,and no tumor relapsed during the follow-up period.Conclusion 3D laparoscopic technology has better spatial positioning,reduces the difficulty and risk of surgery,and improves the safety and efficiency of surgery.

关 键 词：3D腹腔镜 2D腹腔镜 膀胱癌 根治性膀胱切除术 

分 类 号：R737.14[医药卫生—肿瘤]