Preliminary application of 3D laparoscopy in the biliary tract surgery
10.3969/j.issn.1007-1989.2017.03.008
- VernacularTitle:3D腹腔镜在胆道手术中应用的初步探索
- Author:
Dongwei LI
- Keywords:
three-dimensional laparoscopy;
laparoscopic cholecystectomy;
laparoscopic choledocholithotomy T-tube drainage
- From:
China Journal of Endoscopy
2017;23(3):38-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective This paper preliminarily research the clinical effect of 3D laparoscopy in the biliary tract surgery.Methods Thirty-eight patients clinical data of cholelithiasis who accepted laparoscopic cholecystectomy and laparoscopic choledocholithotomy T-tube drainage from January 2015 to June 2016 were retrospectively analyzed,which sixteen patients underwent three-dimensional laparoscopic surgery while twenty-two patients underwent two-dimensional laparoscopic surgery. The operation time, intraoperative blood loss, postoperative drainage,time of drainage, postoperative hospital stay, hospital costs and the incidence of complications were observed in two groups.Results There was a statistical significant (P < 0.05) in operation time and intraoperative blood loss between the two groups, 3D group was better than 2D group. There was no statistical significant (P > 0.05) in postoperative drainage, time of drainage, postoperative hospital stay, hospital costs and the incidence of complications between the two groups. One patient of 2D group suffered residual stones and recovered by choledochoscopy through T tube sinus after two months, while no one suffered residual stones in 3D group. There was no recurrence of stones in both groups during the follow-up period which varied from two months to eighteen months.Conclusions 3D laparoscopy enables biliary tract surgery was more accurate and minimally invasive, it has a widely applicable prospect.
