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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (02): 154-156. doi: 10.3877/cma.j.issn.1674-3946.2021.02.011

Special Issue:

• Original Article • Previous Articles     Next Articles

To explore the clinical effect of Three-Dimensional reconstruction model in laparoscopic gastrectomy for gastric cancer

Jinfu Dong1, Jianfeng Chen1,(), Chunrong Sun1, Yifeng Chen1, Guorong Yang1, Jiwei Cao1, Tingjun Wang1, Wen Lu1, Yu Zhou1   

  1. 1. General Surgery, Suzhou Hospital Affiliated to Nanjing Medical University (General Surgery, Suzhou Municipal Hospital) 215000, China
  • Received:2020-04-20 Online:2021-04-26 Published:2021-04-25
  • Contact: Jianfeng Chen
  • Supported by:
    National Natural Science Foundation of China(81831712); Jiangsu Science and Technology Department Research and Development Project(2018 JS3-12)

Abstract:

Objective

To explore the clinical effect of three-dimensional reconstruction model in laparoscopic gastrectomy.

Methods

84 cases of gastric cancer with LAG from June 2018 to June 2019 treated in our hospital were divided into 3D group (n=42) and CT group (n=42) by adopting the method of random number table. The CT group used CT images for preoperative planning and intraoperative application. Adopting MICs 17.0 software to reconstruct three-dimensional celiac blood vessels according to CT data, the 3D group used three-dimensional models for preoperative planning and intraoperative application. SPSS18.0 software was used for statistical analysis. The measurement data, such as relevant indicators in perioperative period, were expressed as (±s) and analyzed by independent sample t test. The enumeration data such as postoperative complications were expressed as % and analyzed by χ2 test. Indicating difference by P<0.05 was considered statistically significant.

Results

Compared with the CT group, the 3D group can apparently shorten the operation time and average hospitalization time of laparoscopic gastrectomy, reducing the amount of intraoperative bleeding and intraoperative blood transfusion, and increasing the number of lymph nodes removed during the operation. The above differences are statistically significant (P<0.05). However, the differences between the two groups in first postoperative exhaust time and the incidence of postoperative complications are of no statistical significance (P>0.05).

Conclusion

Three dimensional reconstruction of celiac blood vessels applying to laparoscopic radical gastrectomy can accurately evaluate the classification and variation of patients' celiac blood vessels , which can provide important decision-making role during the operation. It has obvious advantages and is worthy of clinical promotion.

Key words: Stomach neoplasms, Laparoscopes, Imaging, three-dimensional

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