3D腹腔镜肝切除术治疗原发性肝癌的临床应用价值

发布时间：2018-08-15 17:34

【摘要】：目的:探讨3D腹腔镜肝切除术治疗原发性肝癌的临床应用价值。方法:采用前瞻性非随机对照研究的方法,选择2012年3月—2015年10月间收治的90例原发性肝癌患者,分别行3D高清腹腔镜肝切除术(3D组,48例)和传统2D腹腔镜肝切除术(2D组,42例),比较两组患者相关临床指标。结果:两组患者术前资料具有可比性。两组患者手术方式、术中出血量、术中输血量、术后并发症发生率、术后住院时间、住院总费用方面差异均无统计学意义(均P0.05),但3D组手术时间明显少于2D组(522 min vs.566 min,P=0.001)。结论:3D高清腹腔镜肝切除术有助于精准解剖,缩短手术时间,同时不增加副损伤和住院总费用,是一种安全、有效、经济的微创外科手段。
[Abstract]:Objective: to evaluate the clinical value of 3 D laparoscopic hepatectomy for primary liver cancer. Methods: a prospective non-randomized controlled study was conducted in 90 patients with primary liver cancer from March 2012 to October 2015. 48 cases of 3D high-definition laparoscopic hepatectomy (3D group) and 42 cases of traditional 2D laparoscopic hepatectomy (2D group) were performed respectively. Results: the preoperative data of the two groups were comparable. There were no significant differences between the two groups in terms of operation mode, intraoperative blood loss, blood transfusion during operation, incidence of postoperative complications, postoperative hospitalization time and total cost of hospitalization (P0.05), but the operative time in 3D group was significantly less than that in 2D group (522 min vs.566 / P0. 001). Conclusion 3 D high definition laparoscopic hepatectomy is a safe, effective and economical minimally invasive surgical method, which is helpful to accurate anatomy, shorten operation time, and do not increase collateral injury and total cost of hospitalization.
【作者单位】：华中科技大学同济医学院附属武汉中心医院普通外科;
【分类号】：R735.7

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