切换至 "中华医学电子期刊资源库"

中华普外科手术学杂志(电子版) ›› 2020, Vol. 14 ›› Issue (05) : 449 -451. doi: 10.3877/cma.j.issn.1674-3946.2020.05.004

所属专题: 述评/论坛 总编推荐 文献

专家论坛

3D和2D腹腔镜右半结肠癌根治术的比较与优势
李乐平1,(), 陈悦之1, 靖昌庆1   
  1. 1. 250021 山东大学附属山东省立医院
  • 收稿日期:2019-12-26 出版日期:2020-10-26
  • 通信作者: 李乐平

Comparison and advantages of 3D vs. 2D laparoscopic right hemicolectomy

Leping Li1,(), Yuezhi Chen1, Changqing Jing1   

  1. 1. Shandong Provincial Hospital, Shandong University, Shandong 250021, China
  • Received:2019-12-26 Published:2020-10-26
  • Corresponding author: Leping Li
  • About author:
    Corresponding author: Li Leping, Email:
  • Supported by:
    National Natural Science Foundation of China(81572355); Key project of research and development program of Shandong Province(2019GSF108243); Project of Science and Technology Development Program of Jinan city(201907068)
引用本文:

李乐平, 陈悦之, 靖昌庆. 3D和2D腹腔镜右半结肠癌根治术的比较与优势[J]. 中华普外科手术学杂志(电子版), 2020, 14(05): 449-451.

Leping Li, Yuezhi Chen, Changqing Jing. Comparison and advantages of 3D vs. 2D laparoscopic right hemicolectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(05): 449-451.

随着微创理念的普及,腹腔镜手术已成为右半结肠癌根治切除的标准术式。传统的2D腹腔镜手术虽然仍是目前的主流,但随着技术进步,3D腹腔镜手术的发展同样迅猛。相比传统的2D腹腔镜,其最大的特点在于三维立体视觉效果,使得手术的操作更精细,定位更准确。在右半结肠手术中无论是在解剖层面的拓展,Henle干的处理,淋巴结清扫还是消化道重建方面都有一定的优势。由于3D腹腔镜良好的纵深感和距离感,使得初学者能更快的适应镜下的手眼配合,增加术中操作的稳定性和精确性,减少错误操作,缩短腹腔镜右半结肠癌根治术的学习曲线。

With the popularization of minimally invasive surgery, laparoscopic surgery has become the standard procedure for radical resection of right colon cancer. The conventional 2D laparoscopic surgery is still the mainstream at present, but with the development of technology, 3D laparoscopic surgery is developing rapidly. Compared with the conventional 2D laparoscopy surgery, its biggest feature is the three-dimensional visual effect, which could make the operation more precise and accurate, including several advantages in radical resection of right colon cancer in terms of exposing anatomical layers, dissecting Henle’s trunk, dissecting lymph nodes as well as reconstructing digestive tract. Due to better depth and distance of 3D laparoscopic surgery, the abecedarian could adapt to the hand eye cooperation more quickly under the scope, could increase the stability and accuracy of operation, could reduce the errors in operation, and could shorten the learning curve of laparoscopic radical resection of right colon cancer.

[1]
Polychronidis A, Laftsidis P, Bounovas A, et al. Twenty years of laparoscopic cholecystectomy: Philippe Mouret-March 17, 1987[J]. JSLS, 2008, 12(1): 109-111.
[2]
Chan AC, Chung SC, Yim AP, et al. Comparison of two-dimensional vs three-dimensional camera systems in laparoscopic surgery[J]. Surg Endosc, 1997, 11(5): 438-440.
[3]
Hanna GB, Shimi SM, Cuschieri A. Randomised study of influence of two-dimensional versus three-dimensional imaging on performance of laparoscopic cholecystectomy[J]. Lancet, 1998, 351(9098): 248-251.
[4]
McLachlan G. From 2D to 3D: the future of surgery?[J]. Lancet, 2011, 378(9800): 1368.
[5]
刘汉东.3D与2D腹腔镜根治术治疗右半结肠癌的疗效对比[J/CD].中华普外科手术学杂志(电子版),2019,13(1):102-104.
[6]
Lusch A, Bucur PL, Menhadji AD, et al. Evaluation of the impact of three-dimensional vision on laparoscopic performance[J]. J Endourol, 2014, 28(2): 261-266.
[7]
Zundel S, Lehnick D, Heyne-Pietschmann M, et al. A Suggestion on How to Compare 2D and 3D Laparoscopy: A Qualitative Analysis of the Literature and Randomized Pilot Study[J]. J Laparoendosc Adv Surg Tech A, 2019, 29(1): 114-120.
[8]
Spille J, Wenners A, von Hehn U, et al. 2D Versus 3D in Laparoscopic Surgery by Beginners and Experts: A Randomized Controlled Trial on a Pelvitrainer in Objectively Graded Surgical Steps[J]. J Surg Educ, 2017, 74(5): 867-877.
[9]
Wilhelm D, Reiser S, Kohn N, et al. Comparative evaluation of HD 2D/3D laparoscopic monitors and benchmarking to a theoretically ideal 3D pseudodisplay: even well-experienced laparoscopists perform better with 3D[J]. Surg Endosc, 2014, 28(8): 2387-2397.
[10]
Schoenthaler M, Schnell D, Wilhelm K, et al. Stereoscopic (3D) versus monoscopic (2D) laparoscopy: comparative study of performance using advanced HD optical systems in a surgical simulator model[J]. World J Urol, 2016, 34(4): 471-477.
[11]
杜晓辉,方国吉,宁宁,等. 腹腔镜直肠癌全直肠系膜切除术的学习曲线研究[J/CD]. 中华腔镜外科杂志(电子版), 2013, 6(1): 12-14.
[12]
Curro G, Coglianlo A, Bartolotta M, et al. Three-Dimensional Versus Two-Dimensional Laparoscopic Right Hemicolectomy[J]. J Laparoendosc Adv Surg Tech A, 2016, 26(3): 213-217.
[13]
Ajao MO, Larsen CR, Manoucheri E, et al. Two-dimensional (2D) versus three-dimensional (3D) laparoscopy for vaginal cuff closure by surgeons-in-training: a randomized controlled trial[J]. Surg Endosc, 2020,34(3):1237-1243.
[14]
Vettoretto N, Reggiani L, Cirocchi R, et al. Three-dimensional versus two-dimensional laparoscopic right colectomy: a systematic review and meta-analysis[J]. Int J Colorectal Dis, 2018, 33(12): 1799-1801.
[1] 黄来明, 张旭东. 雾化吸入布地奈德混悬液联合气管导管涂抹达克罗宁胶浆对改善妇科腹腔镜手术气管插管全身麻醉患者咽喉部不适作用[J]. 中华妇幼临床医学杂志(电子版), 2023, 19(04): 480-486.
[2] 李志伟, 向琪, 彭胜男, 郭玲, 孙贱根, 杨川. 右美托咪定与曲马多分别复合罗哌卡因在全麻下结肠癌根治术中的应用[J]. 中华普通外科学文献(电子版), 2023, 17(03): 182-185.
[3] 燕速, 霍博文, 徐惠宁. 4K荧光腹腔镜扩大右半结肠CME+D3根治术及No.206、No.204组淋巴结清扫术[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 14-14.
[4] 姚宏伟, 魏鹏宇, 高加勒, 张忠涛. 不断提高腹腔镜右半结肠癌D3根治术的规范化[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 1-4.
[5] 杜晓辉, 崔建新. 腹腔镜右半结肠癌D3根治术淋巴结清扫范围与策略[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 5-8.
[6] 周岩冰, 刘晓东. 腹腔镜右半结肠癌D3根治术消化道吻合重建方式的选择[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 9-13.
[7] 徐伯麒, 陶亮, 章帆, 毛忠琦. 结肠癌患者淋巴结转移预测模型的建立[J]. 中华普外科手术学杂志(电子版), 2023, 17(04): 393-397.
[8] 费发珠, 张帅, 刘发蓉, 芦佳骏, 任宾, 樊海宁. 三维可视化联合术中ICG荧光引导腹腔镜肝包虫病切除术一例[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 577-580.
[9] 王建奇, 陈政良, 刘雨, 俞星新, 耿志达, 姜洪池, 梁英健. 基于160例患者CT三维重建的肝血管解剖变异分析[J]. 中华肝脏外科手术学电子杂志, 2023, 12(04): 427-433.
[10] 高旭东, 王小明, 陈江明, 奚士航, 潘璇. 基于三维可视化技术的脾门区脾动脉三维分型[J]. 中华肝脏外科手术学电子杂志, 2023, 12(04): 434-439.
[11] 李映安, 晋云, 储心昀, 胡苹苹, 王峻峰. 混合现实技术在腹腔镜肝切除术中导航的应用[J]. 中华肝脏外科手术学电子杂志, 2023, 12(04): 401-406.
[12] 蓝冰, 王怀明, 王辉, 马波. 局部晚期结肠癌膀胱浸润的研究进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 505-511.
[13] 侯文运, 刘恒昌, 窦利州, 陈海鹏, 郑朝旭, 王贵齐, 王锡山. 腹部无辅助切口内镜引导下取标本的腹腔镜辅助右半结肠癌根治术(保留回盲部)(附视频)[J]. 中华结直肠疾病电子杂志, 2023, 12(05): 436-440.
[14] 唐新, 刁德昌, 廖伟林, 林佳鑫, 汪佳豪, 李文娟, 谢嘉欣, 敖琳, 李洪明, 易小江, 卢新泉, 冯晓创. 保留神经的鞘外游离技术在腹腔镜右半结肠癌D3根治术中的近远期疗效分析:基于倾向性评分匹配的回顾性队列研究[J]. 中华结直肠疾病电子杂志, 2023, 12(05): 372-380.
[15] 陈润芝, 杨东梅, 徐慧婷. 信迪利单抗联合索凡替尼后线治疗MSS型BRAF突变的转移性结肠癌:个案报道并文献复习[J]. 中华结直肠疾病电子杂志, 2023, 12(05): 431-435.
阅读次数
全文


摘要