关键词: 右半结肠, 全结肠系膜切除, 3D 腹腔镜

Abstract:

【Abstract】 Objective To investigate the clinical value of three?dimensional（3D）laparoscopic complete mesocolic excision for right hemi?colon cancer. Methods The clinical and pathological data of 41 patients with advanced distal gastric cancer，who received treatment in our hospital of from January 2014 to September 2016，were analyzed retrospectively. Among these cases, 18 patients received 3D laparoscopic CME and 23 patients for 2D laparoscopic CME. The clinical effect was compared between the patients undergoing 3D laparoscopic CME and 2D laparoscopic CME. Results No significant difference was found in the average operation time and lymph node dissected（3D，217.8±35.9 vs 2D，223.2±40.0） min，（25.0±4.9 vs 24.0±5.7）between the two groups. The intraoperative blood loss in 3D group were less than that in the 2D group（96.8±24.2 ml vs 124.2±43.7 ml），and the surgical operation quality in 3D group were better than that in the 2D group（P<0.05）. No significant differences were found in the anal exsufflation time，hospital stay，hospitalization cost，and postoperative complications between the two groups（P>0.05）. The hospital stay was 13.5±2.3 d in 3D group and 12.9±2.3 d in 2D group. The hospitalization cost were 5.2± 0.7 and 5.4±0.9 thousand Yuan in the two groups respectively. There was two patient with postoperative complications in 3D group，and four patients with postoperative complications in 2D group. Conclusions 3D laparoscopic complete mesocolic excision for right hemi?colon cancer is feasible and safe.

Key words: complete mesocolic excision, three-dimensional laparoscopy, hemi?colon cancer