腹腔镜外科杂志2026，Vol.31Issue(7)：496-501,6.DOI:10.13499/j.cnki.fqjwkzz.2026.07.496
3D与2D单孔胸腔镜手术治疗非小细胞肺癌的临床效果比较
Comparison of clinical efficacy between 3D and 2D single-port video-assisted thoracoscopic surgery for non-small cell lung cancer
摘要
Abstract
Objective:To comparatively analyze the clinical efficacy of 3D and 2D single-port video-assisted thoracoscopic sur-gery(VATS)in the treatment of non-small cell lung cancer.Methods:A total of 231 patients with non-small cell lung cancer treated with VATS from May 2020 to Jul.2022 were retrospectively enrolled.According to the surgical method,the patients were divided into the 3D group(n=115,treated with 3D-VATS)and the 2D group(n=116,treated with 2D-VATS).Intraoperative and postoperative re-lated indicators,perioperative pulmonary function indicators,inflammatory indicators and surgical complications were compared be-tween the two groups.Results:The operative time in the 3D group was shorter than that in the 2D group,and the intraoperative blood loss in the 3D group was less than that in the 2D group,with statistically significant differences(P＜0.05).There were no statistically significant differences in the number of dissected lymph nodes,postoperative drainage volume,and postoperative hospital stay between the two groups(P＞0.05).Preoperative forced expiratory volume in the first second as a percentage of predicted value,forced vital ca-pacity as a percentage of predicted value and peak expiratory flow were comparable between the two groups(P＞0.05).One month af-ter surgery,the forced expiratory volume in the first second as a percentage of predicted value and forced vital capacity as a percentage of predicted value of the 3D group were higher than those of the 2D group,with statistically significant differences(P＜0.05).Preopera-tive serum tumor necrosis factor-α,C-reactive protein and IL-6 levels showed no statistical differences between the two groups(P＞0.05).On the 3rd day after operation,the serum tumor necrosis factor-ɑ and IL-6 levels were lower in the 3D group than those in the 2D group,with statistically significant differences(P＜0.05).The complication rate was 6.09%in the 3D group,which was lower than 15.52%in the 2D group(P＜0.05).Conclusions:Both 3D-VATS and 2D-VATS have good therapeutic effects on non-small cell lung cancer.3D-VATS has the advantages of shorter operation time,less intraoperative blood loss,better postoperative pulmonary function recovery,lower postoperative inflammatory level,and fewer complications.关键词
癌,非小细胞肺/胸腔镜检查/单孔/并发症/疗效比较研究Key words
Carcinoma,non-small-cell lung/Thoracoscopy/Single-port/Complications/Comparative effectiveness research分类
医药卫生引用本文复制引用
侯博峰,赵亚楠,刘丹,王继云,宋家悦,孙懿..3D与2D单孔胸腔镜手术治疗非小细胞肺癌的临床效果比较[J].腹腔镜外科杂志,2026,31(7):496-501,6.基金项目
廊坊市科学技术研究与发展计划项目(2024013103) （2024013103）
