山东第一医科大学(山东省医学科学院)学报2024,Vol.45Issue(12) :733-736.DOI:10.3969/j.issn.2097-0005.2024.12.005

3D腹腔镜在袖状胃切除术中的应用价值

Application value of 3D laparoscopy in sleeve gastrectomy

彭悦 杨成 符清胜 李锐洁 夏亚斌
山东第一医科大学(山东省医学科学院)学报2024,Vol.45Issue(12) :733-736.DOI:10.3969/j.issn.2097-0005.2024.12.005

3D腹腔镜在袖状胃切除术中的应用价值

Application value of 3D laparoscopy in sleeve gastrectomy

彭悦 1杨成 1符清胜 1李锐洁 2夏亚斌1
扫码查看

作者信息

  • 1. 皖南医学院第一附属医院胃肠外科,安徽 芜湖 241001
  • 2. 皖南医学院临床医学院,安徽 芜湖 241002
  • 折叠

摘要

目的 评价3D腹腔镜在袖状胃切除术中的应用价值.方法 选取2022年9月—2023年9月于皖南医学院第一附属医院接受腹腔镜袖状胃切除术的肥胖患者共101例进行回顾性分析.根据腹腔镜系统选择不同,分为2D腹腔镜组(47例)和3D腹腔镜组(54例),手术方式均为标准腹腔镜袖状胃切除术,所有患者均顺利完成腹腔镜袖状胃切除术,无术中转为开放手术病例.比较2组的总手术时间、胃切缘及大网膜缝合时间、术中出血量、术后相关指标.结果 3D腹腔镜组无中转变更为2D腹腔镜手术病例.3D腹腔镜组的总手术时间、胃切缘及大网膜缝合时间均短于2D腹腔镜组,术中出血量也少于2D腹腔镜组,差异均有统计学意义(P均<0.05).2组在术后相关指标方面差异无统计学意义(P>0.05).结论 3D腹腔镜在袖状胃切除术中能够缩短手术时间,减少术中出血,提高手术质量,具有较高的临床应用价值.

Abstract

Objective:To investigate the application value of three-dimensional(3D)laparoscopy in sleeve gastrectomy.Methods:A total of 101 obese patients who underwent laparoscopic sleeve gastrectomy in the First Affiliated Hospital of Wannan Medical College from September 2022 to September 2023 were selected for retrospective analysis.According to the choice of laparoscopic system,the patients were divided into 2D group and 3D group.The surgical method was standard laparoscopic sleeve gastrectomy,Compare two groups of the total operation time,stomach cut edge and greater omentum suture time,intraoperative blood loss,postoperative related indicators.Results:There were 47 patients in the 2D laparoscopic group and 54 patients in the 3D laparoscopic group.All patients successfully underwent laparoscopic sleeve gastrectomy without conversion to open surgery.There was no conversion to 2D laparoscopic surgery in the 3D group.Compared with the 2D group,the 3D group had shorter total operation time,shorter suture time of gastric resection margin and greater omentum(P<0.05),and less intraoperative blood loss(P<0.05).There was no significant difference in postoperative related indicators between the two groups(P>0.05).Conclusion:3D laparoscopy can shorten the operation time,reduce intraoperative blood loss and improve the quality of operation,which has high clinical application value.

关键词

3D腹腔镜/2D腹腔镜/腹腔镜袖状胃切除术

Key words

3D laparoscope/2D laparoscope/laparoscopic sleeve gastrectomy

引用本文复制引用

出版年

2024
山东第一医科大学(山东省医学科学院)学报
泰山医学院

山东第一医科大学(山东省医学科学院)学报

影响因子:0.6
ISSN:2097-0005
段落导航相关论文