3D高清腹腔镜由于具有立体成像、空间定位和纵深知觉，为膜解剖时代结直肠癌精准手术提供了技术支持。在腹腔镜右半结肠癌根治术中3D腹腔镜的优势主要体现在对于膜解剖的立体辨识、淋巴结清扫、对血管解剖的空间定位、腔镜缝合等精细操作方面。尤其适合于肥胖患者的高难度手术。3D腹腔镜可能有助于右半结肠癌根治术中膜解剖的辨识，包括：上界为横结肠后胰颈前间隙、胃与横结肠系膜间隙；下界为小肠升结肠间隙；内侧界为肠系膜上动脉(SMA)左缘；后界(膜床)为升结肠后间隙、横结肠后胰十二指肠前间隙。未来3D腹腔镜右半结肠癌根治术可能需要通过多中心的随机对照试验建立高级别的循证医学证据。相信随着技术的革新，结合特殊示踪成像、增强现实进行手术规划和导航，3D腹腔镜必将继续推动膜解剖理念的发展和微创外科的技术进步，使广大患者真正获益。

In the era of facial anatomy, 3D high-definition laparoscopy could provide technical support to precision surgery for colorectal cancer due to its stereo imaging, spatial positioning, and depth perception. There several advantages of 3D laparoscopy during radical surgery for right colon cancer, including the identification of facial anatomy, lymph node dissection, spatial positioning of vascular anatomy, and laparoscopic suturing. 3D laparoscopic surgery facilitates the operation for difficult cases with obesity. During the radical surgery for right colon cancer, it could facilitate the identification of facial anatomy as follows. The upper boundary is the space posterior to pancreatic neck and the space between the stomach and the transverse mesentery. The lower boundary is space between the ascending colon and the small intestine. The medial boundary is the left lateral margin of superior mesentery artery (SMA). The posterior boundary (facial bed) is the space posterior to ascending colon and posterior to pancreas and duodenum. In the future, 3D laparoscopic surgery for right colon cancer would accumulate more high-level evidences with multi-center randomized controlled trials. We propose that with the technological innovation, combined with special tracer imaging and the Augmented Reality for surgical planning and navigation, 3D laparoscopy will continue to promote the development of facial anatomy concept and technical progress in minimally invasive surgery. It will bring real benefits to the majority of patients.