中国内镜杂志2017，Vol.23Issue(3)：38-41,4.DOI:10.3969/j.issn.1007-1989.2017.03.008
3D腹腔镜在胆道手术中应用的初步探索
Preliminary application of 3D laparoscopy in the biliary tract surgery
黎东伟 1李君久 1熊秋华 1张慧嫦 1莫大超 1孙达 1欧阳君1
作者信息
- 1. 中山大学附属东华医院 普外科,广东 东莞 523110
- 折叠
摘要
Abstract
Objective This paper preliminarily research the clinical effect of 3D laparoscopy in the biliary tract surgery.Methods Thirty-eight patients clinical data of cholelithiasis who accepted laparoscopic cholecystectomy and laparoscopic choledocholithotomy T-tube drainage from January 2015 to June 2016 were retrospectively analyzed,which sixteen patients underwent three-dimensional laparoscopic surgery while twenty-two patients underwent two-dimensional laparoscopic surgery. The operation time, intraoperative blood loss, postoperative drainage,time of drainage, postoperative hospital stay, hospital costs and the incidence of complications were observed in two groups.Results There was a statistical significant (P < 0.05) in operation time and intraoperative blood loss between the two groups, 3D group was better than 2D group. There was no statistical significant (P > 0.05) in postoperative drainage, time of drainage, postoperative hospital stay, hospital costs and the incidence of complications between the two groups. One patient of 2D group suffered residual stones and recovered by choledochoscopy through T tube sinus after two months, while no one suffered residual stones in 3D group. There was no recurrence of stones in both groups during the follow-up period which varied from two months to eighteen months.Conclusions 3D laparoscopy enables biliary tract surgery was more accurate and minimally invasive, it has a widely applicable prospect.关键词
3D腹腔镜/腹腔镜胆囊切除术/腹腔镜胆总管切开取石T管引流术Key words
three-dimensional laparoscopy/laparoscopic cholecystectomy/laparoscopic choledocholithotomy T-tube drainage分类
医药卫生引用本文复制引用
黎东伟,李君久,熊秋华,张慧嫦,莫大超,孙达,欧阳君..3D腹腔镜在胆道手术中应用的初步探索[J].中国内镜杂志,2017,23(3):38-41,4.
