Abstract: Objective To investigate the application value of 3D laparoscopy in insulinoma surgery. Methods The data of ten patients with insulinoma treated by 3D laparoscopy from January 2017 to December 2019 in our hospital were retrospectively analyzed. The number of clamping errors per 100 times was counted by video review, and compared with 2D laparoscopy. Meanwhile, subjective feelings of the participants were investigated. Results All the 10 patients were successfully performed 3D laparoscopic surgery without conversion to open surgery. Number of clamping errors per 100 times were 7.85±1.67 times in 3D group and 18.96±4.48 times in 2D group, and the difference between two groups was statistically significant （P<0.05）. The subjective questionnaire indicated that 3D laparoscopy was superior to 2D laparoscopy in terms of field exposure and operation. Conclusion 3D laparoscopy is helpful for accurate operation and successful implementation of minimally invasive surgery for insulinoma.

Key words: 23D laparoscopy, surgery, insulinoma

摘要： 目的 探讨3D腹腔镜在胰岛素瘤手术中的应用价值。方法 回顾性分析我院2017年1月~2019年12月行3D腹腔镜治疗胰岛素瘤的资料,并通过视频回顾统计每百次钳夹失误数,并与2D腹腔镜进行比较分析,同时对参与手术者进行主观感受调查。结果 10例患者均成功实施3D腹腔镜手术,无中转开放手术。统计每百次钳夹失误数,其中3D组为7.85±1.67次,2D组为18.96±4.48次,两者差异有统计学意义（P<0.05）。主观调查问卷提示3D腹腔镜术野暴露、手术操作等得到认可。结论 3D腹腔镜有助于精准操作,有助于胰岛素瘤微创手术的成功实施。

关键词: 胰岛素瘤, 3D腹腔镜, 手术