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目的:探讨3D腹腔镜在胃癌根治术中的临床疗效。方法:回顾性分析我院88例行腹腔镜胃癌根治术患者的临床资料,根据手术方法将其分为3D腹腔镜组44例与2D腹腔镜组44例。观察对比两组患者的手术时间、术中出血量、手术费用、疾病复发率及生存率。结果:3D腹腔镜组手术时间、术中出血量显著低于2D腹腔镜组(P<0.05);两组手术费用对比差异无统计学意义(P>0.05);随访6个月,两组疾病复发率及死亡率对比差异无统计学意义(P>0.05)。结论:3D腹腔镜胃癌根治术具有较佳的立体深度感,操作简单、精确,有效降低了手术时间及术中出血量,适于临床应用与开展。
Objective: To investigate the clinical effect of 3D laparoscopy in radical resection of gastric cancer. Methods: The clinical data of 88 patients undergoing laparoscopic radical gastrectomy in our hospital were retrospectively analyzed. According to the surgical methods, they were divided into 44 laparoscopic group and 44 laparoscopic group. The operation time, intraoperative blood loss, operation cost, disease recurrence rate and survival rate were compared between the two groups. Results: The operation time and intraoperative blood loss in 3D laparoscopic group were significantly lower than those in 2D laparoscopic group (P <0.05). There was no significant difference in the operation costs between the two groups (P> 0.05) There was no significant difference in recurrence rate and mortality (P> 0.05). Conclusions: 3D laparoscopic radical gastrectomy has better stereoscopic depth, simple and accurate operation, reduces operation time and intraoperative blood loss, and is suitable for clinical application and development.