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目的:对比3D和2D腹腔镜治疗直肠癌的临床近期效果。方法:回顾性分析经腹腔镜行Miles及Dixon术根治性切除直肠癌患者35例临床资料。根据所用腹腔镜类型分为3D腹腔镜组(18例)和2D腹腔镜组(17例),比较两组近期疗效。结果:3D和2D腹腔镜组在年龄、性别、肿瘤分期、术式等方面差异均无统计学意义(P>0.05);3D腹腔镜组手术时间较2D腹腔镜组明显缩短(P<0.05),两组中转开腹率、术中出血量、排气时间、留置导尿管时间、并发症发生率差异无统计学意义(P>0.05);平均随访时间为(13.28±2.15)个月。3D腹腔镜组随访期间复发率和病死率分别为44.44%和16.67%,2D腹腔镜组分别为41.18%和17.65%(P>0.05)。结论:3D腹腔镜直肠癌根治术较2D腹腔镜直肠癌根治术缩短了手术时间;近期临床疗效无明显差异。
Objective: To compare the clinical effect of 3D and 2D laparoscopy in the treatment of rectal cancer. Methods: The clinical data of 35 patients with rectal cancer underwent laparoscopic Miles and Dixon surgery were analyzed retrospectively. According to the types of laparoscopy used, the patients were divided into 3D laparoscopic group (18 cases) and 2D laparoscopic group (17 cases). The short-term curative effect was compared between the two groups. Results: The 3D and 2D laparoscopic groups had no significant difference in age, sex, tumor stage and surgical procedure (P> 0.05). The operation time of 3D laparoscopic group was significantly shorter than that of 2D laparoscopic group (P <0.05) There was no significant difference in the rate of laparotomy, intraoperative blood loss, extubation time, indwelling catheter time and complication rate between the two groups (P> 0.05). The average follow-up time was (13.28 ± 2.15) months. The recurrence rate and mortality of 3D laparoscopic group were 44.44% and 16.67%, respectively. The 2D laparoscopic group was 41.18% and 17.65% respectively (P> 0.05). Conclusions: 3D laparoscopic radical resection of rectal cancer can shorten the operation time compared with 2D laparoscopic radical resection of rectal cancer. There is no significant difference in clinical efficacy between the two groups.