摘要
Abstract
Objective:To compare the clinical effect of 3D versus 2D laparoscopic radical hysterectomy for cervical cancer.Methods:In this single institutional study,102 patients with cervical cancer underwent surgical treatment in Tianjin Central Hospital of Gynecology Obstetrics,55 patients underwent 3D laparoscopic radical hysterectomy,47 patients of control group underwent 2D laparoscopic radical hysterectomy.The operative time,intraoperative blood loss,number of excised lymph node,postoperative complications (urinary retention,ureteral injury,obturator nerve damage,thrombosis,lymphocele and so on) of two groups were comparatively analyzed.Results:All the 102 operations were successful.There were significant differences in operating time [(203 ± 30.88) min vs.(223 ± 22.63) min],blood loss [(119 ± 46.15) ml vs.(156 ± 71.27) ml],postoperative complications (9.09％ vs.29.79％) and the number of resected lymph nodes [(25.0 ±5.77) vs.(23.0 ±6.99)] of the 3D group and 2D group (P ＜0.05),there was no statistically significant difference in the resected parametrial width [(3.81 ± 0.39) cm vs.(3.75 ± 0.38) cm] and vaginal length [(3.59 ± 0.48) cm vs.(3.67 ± 0.39) cm] (P ＞ 0.05).Conclusions:Compared with conventional 2D laparoscopy,3D laparoscopic system provides stereoscopic vision,which guarantees a clearer view and more accurate dissection.3 D visualization may reduce the operating time,blood loss and postoperative complications.Furthermore,it can increase harvested lymph nodes,thus surgical specimens can be removed more thoroughly.3D laparoscopic technology is worth clinical application.关键词
宫颈肿瘤/宫颈癌根治术/腹腔镜检查/成像,三维/成像,二维/疗效比较研究Key words
Uterine cervical neoplasms/Radical surgery of cervical cancer/Laparoscopy/Imaging,three-dimensional/Imaging,two-dimensional/Comparative effectiveness research分类
医药卫生
