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三维技术在腹腔镜胆囊切除术的应用探讨

Application of three-dimensional technique in laparoscopic cholecystectomy

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【作者】 陈光彬刘丹峰刘昌阔章新桥孙荣能孙礼侠

【Author】 Chen Guangbin;Liu Danfeng;Liu Changkuo;Zhang Xinqiao;Sun Rongneng;Sun Lixia;Department of General Surgery,Wuhu No.2 People’s Hospital;

【机构】 芜湖市第二人民医院普外(肝胆)科

【摘要】 目的探讨三维(3D)技术应用于腹腔镜胆囊切除术的可行性及临床经验。方法临床筛选3例胆囊良性疾病患者,既往有右上腹疼痛病史,术中应用Viking 3D高清腹腔镜系统完成腹腔镜胆囊切除术。结果 3例患者均顺利完成手术,无中转开腹,手术时间、术中出血量与传统腹腔镜相当;患者术后均恢复顺利,术后72 h出院。结论 3D腹腔镜下纵深感明显、解剖层次感强、操作空间位置感明确,因此手术操作更加精准,有助于减少手术并发症、完成更为复杂的腹腔镜手术。

【Abstract】 Objective To explore the feasibility of three-dimensional(3D) laparoscopic system in laparoscopic cholecystectomy. Methods Three patients with benign gallbladder disease with a history of abdominal pain were selected to undergo the surgery. All the operations were performed with Viking 3D HD laparoscopic system. Results The 3 operations were completed successfully with no conversion to laparotomy. The operation time and intraoperative bleeding volume were quite equal to the conventional laparoscopy. All of them recovered successfully and were discharged 3 days postoperatively. Conclusion Three-dimensional technique can well reveal the tissue anatomy in the operative field,allows more precise operation with reduced complications and is suitable for more complex laparoscopic surgery.

  • 【文献出处】 中华腔镜外科杂志(电子版) ,Chinese Journal of Laparoscopic Surgery(Electronic Edition) , 编辑部邮箱 ,2014年02期
  • 【分类号】R657.4
  • 【被引频次】7
  • 【下载频次】67
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