Comparison of Short-Term Outcomes Using Three-Dimensional and Two-Dimensional Laparoscopic Gastrectomy for Gastric Cancer

被引:7
作者
Lee, Yoontaek [1 ]
Lee, Chang Min [1 ]
Jang, You Jin [1 ]
Park, Sungsoo [1 ]
Park, Seong-Heum [1 ]
Mok, Young-Jae [1 ]
Kim, Jong-Han [1 ]
机构
[1] Korea Univ, Coll Med, Dept Surg, 73 Inchon Ro, Seoul 02841, South Korea
来源
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | 2019年 / 29卷 / 07期
关键词
laparoscopic gastrectomy; gastric cancer; 3D laparoscopy; 2D laparoscopy; PHASE-III; PERFORMANCE; SURGERY; 2D; 3D; TECHNOLOGY; OPERATORS; NOVICE;
D O I
10.1089/lap.2018.0765
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: This study investigated the oncological and technical advantages of three-dimensional (3D) versus two-dimensional (2D) laparoscopic gastric cancer surgery. Materials and Methods: This study included 68 gastric cancer patients who had undergone laparoscopic distal gastrectomy at Korea University Ansan Hospital (3D group, n = 34; 2D group, n = 34). The surgical outcomes and duration of each phase were compared between the groups. Results: The total operative time with 3D laparoscopy was significantly shorter than with 2D laparoscopy (227.8 +/- 39.0 versus 249.6 +/- 45.3 minutes; P = .037). There were no significant differences between the groups in the number of gauze pads used, time to first postoperative flatus, and number of harvested lymph nodes (2.0 [1.0-2.0] versus 2.0 [1.0-2.0]; P = .692; 4.0 [4.0-4.0] versus 4.0 [4.0-4.0] days; P = .196; 40.8 +/- 16.6 versus 44.0 +/- 15.7; P = .412, respectively). The time from omentectomy to right gastric artery ligation and the duration of the reconstruction phase were shorter with 3D than with 2D laparoscopy (62.6 +/- 14.5 versus 71.9 +/- 18.8 minutes; P = .027; 32.3 +/- 7.6 versus 47.7 +/- 16.8 minutes; P < .001). Conclusion: In a procedure requiring spatial perception, the operative time was shortened by introducing 3D laparoscopy. Despite the anticipation of a better view for lymph node dissection, the 3D image showed no advantage. Further study may be required by novice surgeons.
引用
收藏
页码:886 / 890
页数:5
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