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目的探讨3D高清腹腔镜成像系统在肾癌根治术中的应用价值。方法选取2014年1月至2015年12月收治的74例行肾癌根治术患者为研究对象,随机分为两组,其中对照组在2D高清腹腔镜成像系统下完成手术,观察组在3D高清腹腔镜成像系统下完成手术。观察两组患者临床各项指标及术后并发症。结果与对照组比较,观察组的恢复胃肠功能时间、进食时间、住院时间以及留置导尿管时间均较短,且术中出血量少,组间比较差异有统计学意义(P<0.05)。观察组术后并发症发生率(8.1%)与对照组(10.8%)比较,差异未见统计学意义(χ2=0.158,P=1.000)。随访23~47个月,观察组复发率(2.7%)与对照组(8.1%)比较差异未见统计学意义(χ2=1.057,P=0.307)。结论 3D高清腹腔镜成像系统应用于肾癌根治术具有恢复快、出血少、创伤小等诸多优点,是有效、安全的一种术式,值得推广。
Objective To investigate the value of 3D high-resolution laparoscopic imaging system in radical nephrectomy. Methods Totally 74 patients undergoing radical resection of renal cell carcinoma from January 2014 to December 2015 were selected and randomly divided into two groups. The control group underwent surgery under 2D high-resolution laparoscopic imaging system and the observation group underwent 3D high- Laparoscopic imaging system to complete the operation. The clinical indexes and postoperative complications of two groups were observed. Results Compared with the control group, the gastrointestinal function recovery time, eating time, hospitalization time and indwelling catheter time in the observation group were both shorter and the intraoperative blood loss was less. There was significant difference between the two groups (P <0.05) . The incidence of postoperative complications in the observation group (8.1%) was not significantly different from that in the control group (χ2 = 0.158, P = 1.000). The follow-up of 23 to 47 months, the observation group recurrence rate (2.7%) compared with the control group (8.1%) showed no significant difference (χ2 = 1.057, P = 0.307). Conclusion The application of 3D high-resolution laparoscopic imaging system in radical nephrectomy is quick, quick, less bleeding and less traumatic. It is an effective and safe surgical technique and worth promoting.