Abstract:

Comparison of short-term outcome of 3D and 2D laparoscopy-assisted radical gastrectomy        ZHANG Ke-cheng，WANG Xin-xin，WEI Bo，et al. Department of General Surgery，Chinese PLA General Hospital，Beijing 100853，China
Corresponding author: CHEN Lin，E-mail：chenlinbj@vip.sina.com
Abstract    Objective    To compare the clinical efficacy of 3D and 2D laparoscopy-assisted radical gastrectomy. Methods    The clinical data of 156 patients who underwent 3D (70 patients) or 2D (86 patients) laparoscopy-assisted  radical gastrectomy by the same operation group at Chinese PLA General Hospital between November 2015 and November 2016 were analyzed retrospectively. Intraoperative and postoperative variables were compared between the two groups. Results  Compared with 2D group, 3D group had significantly shorter operation time [（202.4±89.7）min versus （232.9±95.8）min，P=0.044] and less blood loss [(138.9±42.0)mL versus (152.8±41.0)mL，P=0.039]. There was no significant difference regarding lymph node retrieval, number of positive lymph nodes, day of the first flatus, postoperative hospital stay, medical cost, complication rates and complication severity between the two groups（all P>0.05）. Conclusion    Compared with 2D laparoscopy-assisted radical gastrectomy，3D laparoscopy-assisted radical gastrectomy could achieve similar short-term outcome with potential efficacy improvement while shorten the operative time and reduce blood loss.

Key words: 3D laparoscopy, 2D laparoscopy, short-term outcome, radical gastrectomy

摘要：

目的    对比分析3D和2D腹腔镜胃癌根治术的临床疗效。 方法    回顾性分析2015年11月至2016年11月解放军总医院普通外科同一手术组实施腹腔镜手术治疗的156例胃癌病人临床资料，其中行3D腹腔镜胃癌根治术70例（3D组），2D腹腔镜胃癌根治术86例（2D组），比较两组病人术中及术后相关指标。 结果    与2D组相比，3D组病人手术时间更短［（232.9±95.8）min vs. （202.4±89.7）min，P=0.044］，术中出血更少［（152.8±41.0）mL vs.  （138.9±42.0）mL，P=0.039］。在淋巴结清扫数、阳性淋巴结数、术后排气时间、住院时间、住院费用、术后并发症发生率及严重程度方面，组间差异均无统计学意义（P>0.05）。结论    3D腹腔镜胃癌根治术能获得与2D腹腔镜手术相近的临床短期疗效，同时缩短了手术时间和减少了术中出血。

关键词: 3D腹腔镜, 2D腹腔镜, 近期预后, 胃癌根治术