同济大学学报（医学版）2018，Vol.39Issue(1)：6-9,4.DOI:10.16118/j.1008-0392.2018.01.002
3D腔镜系统在腹腔镜联合胆道镜保胆取石术中的应用价值
Application of three-dimensional laparoscopy in choledochoscopic cholecystolithotomy
摘要
Abstract
Objective To evaluate the clinical application of three-dimensional (3D) laparoscopy in choledochoscopic cholecystolithotomy.Methods Sixty-three patients underwent laparoscopy-combined choledochoscopic cholecystolithotomy from April 2015 to July 2015,including 33 cases under 2D laparoscopy(2D group) and 30 cases under 3D laparoscopy (3D group).The clinical data including age,gender,body mass index,the size of gallstone,underlying disease,the operative time,the time of gallbladder suture,the volume of the intraoperative blood loss,the satisfaction of gallbladder incision suture,the time for intestine exhaust and length of hospital stay were compared between the two groups.All the patients were followed up for 18 months for the assessment of gallstone recurrence and gallbladder contract function.Results The cholecystolithotomy by laparoscopy combined with choledochoscopy was successfully completed in 26 patients of 3D group and in 30 patients of 2D group (P＞0.05).The time of gallbladder suture was significantly shorter and the satisfaction of gallbladder suture was better in 3D group than those in 2D group(P＜0.05).No significant differences were found in the operative time,volume of the intraoperative blood loss,the time for intestine exhaust,length hospital stay,recurrence rate between the two groups (P ＞ 0.05).Conclusion 3D laparoscopy combined with choledochoscopy in cholecystolithotomy is safe and effective.It can shorten the operation time and improve the quality of the gallbladder suture to a certain extent.关键词
3D腹腔镜/保胆取石术/胆石病Key words
three-dimensional laparoscopy/cholecystolithotomy/cholelithiasis分类
医药卫生引用本文复制引用
许志营,徐安安,赵刚,叶芮琪,胡海..3D腔镜系统在腹腔镜联合胆道镜保胆取石术中的应用价值[J].同济大学学报（医学版）,2018,39(1):6-9,4.基金项目
上海市浦东新区卫生系统重点专科建设资助项目(PWZzk2017-10) （PWZzk2017-10）
