xiayabin1971@163.com。
"],"authorList":[{"zuoZheDiZhiL_cn":["皖南医学院第一附属医院胃肠外科，安徽 芜湖 241001 ;"],"deceased":false,"name_cn":"彭悦","zuoZheDiZhiL_en":["The Department of Gastrointestinal Surgery，The First Affiliated Hospital of Wannan Medical College，Wuhu 241001，China ;"],"name_en":"Yue PENG"},{"zuoZheDiZhiL_cn":["皖南医学院第一附属医院胃肠外科，安徽 芜湖 241001 ;"],"deceased":false,"name_cn":"杨成","zuoZheDiZhiL_en":["The Department of Gastrointestinal Surgery，The First Affiliated Hospital of Wannan Medical College，Wuhu 241001，China ;"],"name_en":"Cheng YANG"},{"zuoZheDiZhiL_cn":["皖南医学院第一附属医院胃肠外科，安徽 芜湖 241001 ;"],"deceased":false,"name_cn":"符清胜","zuoZheDiZhiL_en":["The Department of Gastrointestinal Surgery，The First Affiliated Hospital of Wannan Medical College，Wuhu 241001，China ;"],"name_en":"Qingsheng FU"},{"zuoZheDiZhiL_cn":["皖南医学院临床医学院，安徽 芜湖 241002 ;"],"deceased":false,"name_cn":"李锐洁","zuoZheDiZhiL_en":["Clinical Medical School in Wannan Medical College，Wuhu 241002，China ;"],"name_en":"Ruijie LI"},{"zuoZheDiZhiL_cn":["皖南医学院第一附属医院胃肠外科，安徽 芜湖 241001 ;"],"deceased":false,"name_cn":"夏亚斌","email":"xiayabin1971@163.com","zuoZheDiZhiL_en":["The Department of Gastrointestinal Surgery，The First Affiliated Hospital of Wannan Medical College，Wuhu 241001，China ;"],"name_en":"Yabin XIA"}],"affList_en":["1.The Department of Gastrointestinal Surgery，The First Affiliated Hospital of Wannan Medical College，Wuhu 241001，China
2.Clinical Medical School in Wannan Medical College，Wuhu 241002，China"],"fundList_cn":["国家科技部重点研发计划(2022YFC2505204);国家自然科学基金(309710077)"],"affList_cn":["1.皖南医学院第一附属医院胃肠外科，安徽 芜湖 241001
2.皖南医学院临床医学院，安徽 芜湖 241002"],"article":{"keywordList_cn":["3D腹腔镜","2D腹腔镜","腹腔镜袖状胃切除术"],"juan":"45","zhaiyao_cn":"

目的 评价3D腹腔镜在袖状胃切除术中的应用价值。 方法 选取2022年9月—2023年9月于皖南医学院第一附属医院接受腹腔镜袖状胃切除术的肥胖患者共101例进行回顾性分析。根据腹腔镜系统选择不同，分为2D腹腔镜组（47例）和3D腹腔镜组（54例），手术方式均为标准腹腔镜袖状胃切除术，所有患者均顺利完成腹腔镜袖状胃切除术，无术中转为开放手术病例。比较2组的总手术时间、胃切缘及大网膜缝合时间、术中出血量、术后相关指标。 结果 3D腹腔镜组无中转变更为2D腹腔镜手术病例。3D腹腔镜组的总手术时间、胃切缘及大网膜缝合时间均短于2D腹腔镜组，术中出血量也少于2D腹腔镜组，差异均有统计学意义（P均 < 0.05）。2组在术后相关指标方面差异无统计学意义（P > 0.05）。 结论 3D腹腔镜在袖状胃切除术中能够缩短手术时间，减少术中出血，提高手术质量，具有较高的临床应用价值。

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1 Angrisani L， Santonicola A， Iovino P， et al. IFSO worldwide survey 2016： primary， endoluminal， and revisional procedures［J］. Obes Surg， 2018， 28（12）： 3783.
2 Bou Daher H， Sharara AI. Gastroesophageal reflux disease， obesity and laparoscopic sleeve gastrectomy： the burning questions［J］. World J Gastroenterol， 2019， 25（33）： 4805.
3 English WJ， DeMaria EJ， Brethauer SA， et al. American society for metabolic and bariatric surgery estimation of metabolic and bariatric procedures performed in the United States in 2016［J］. Surg Obes Relat Dis， 2018， 14（3）： 259.
4 郑民华， 马君俊， 蔡正昊， 等. 3D腹腔镜手术技术中国专家共识（2019版）［J］. 中国实用外科杂志， 2019， 39（11）： 1136.
5 陈曦， 肖遥. 3D腹腔镜在外科手术中的应用进展［J］. 山东医药， 2019， 59（36）： 108.
6 王勇， 王存川， 朱晒红， 等. 中国肥胖及2型糖尿病外科治疗指南（2019版）［J］. 中国实用外科杂志， 2019， 39（4）： 301.
7 王存川， 张鹏， 赵玉沛. 腹腔镜袖状胃切除术操作指南（2018版）［J］. 中华肥胖与代谢病电子杂志， 2018， 4（4）： 196.
8 Gagner M， Hutchinson C， Rosenthal R. Fifth International Consensus Conference： current status of sleeve gastrectomy［J］. Surg Obes Relat Dis，2016，12（4）：750-756.
9 Hanna GB， Shimi SM， Cuschieri A. Randomised study of influence of two-dimensional versus three-dimensional imaging on performance of laparoscopic cholecystectomy［J］. Lancet， 1998， 351（9098）： 248.
10 汪天时， 刘铜军. 3D 腹腔镜手术的优势与应用前景［J］. 中华结直肠疾病电子杂志， 2015（5）： 483.
11 de Almeida RAR， Qureshi YA， Morawala AJ， et al. Impact of 3D laparoscopic surgical training on performance in standard 2D laparoscopic simulation： a randomised prospective study［J］. J Surg Simula， 2018， 5（1）： 1-7.
12 Poudel S， Kurashima Y， Watanabe Y， et al. Impact of 3D in the training of basic laparoscopic skills and its transferability to 2D environment： a prospective randomized controlled trial［J］. Surg Endosc， 2017， 31（3）： 1111.
13 Angrisani L， Santonicola A， Iovino P， et al. Bariatric surgery and endoluminal procedures： IFSO worldwide survey 2014［J］. Obes Surg， 2017， 27（9）： 2279.
14 Marceau P， Biron S， Bourque RA， et al. Biliopancreatic diversion with a new type of gastrectomy［J］. Obes Surg， 1993， 3（1）：29.
15 Ren CJ， Patterson E， Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch： a case series of 40 consecutive patients［J］. Obes Surg， 2000， 10（6）： 514.
16 Regan JP， Inabnet WB， Gagner M， et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient［J］. Obes Surg， 2003， 13（6）： 861.
17 Gagner M， Hutchinson C， Rosenthal R. Fifth International Consensus Conference： current status of sleeve gastrectomy［J］. Surg Obes Relat Dis，2016，12（4）：750.
18 王勇， 谢佳冀. 减重及代谢外科手术的关键技术标准及评价［J］. 中国实用外科杂志， 2024， 44（1）： 70.
19 刘金钢， 张忠涛， 王存川， 等. 腹腔镜胃袖状切除术后胃漏诊断、预防及处理中国专家共识（2021版）［J］. 中国实用外科杂志， 2021， 41（6）： 633.
20 Sakran N， Goitein D， Raziel A， et al. Gastric leaks after sleeve gastrectomy： a multicenter experience with 2，834 patients［J］. Surg Endosc， 2013， 27（1）： 240.
21 Knapps J， Ghanem M， Clements J， et al. A systematic review of staple-line reinforcement in laparoscopic sleeve gastrectomy［J］. JSLS， 2013， 17（3）： 390.
22 Highet A， Johnson EH， Bonham AJ， et al. Cost-effectiveness of staple line reinforcement in laparoscopic sleeve gastrectomy［J］. Ann Surg， 2023， 277（1）： 121.
23 李士军， 解晶晶， 屈兵， 等. 网膜复位固定术对减少腹腔镜袖状胃切除术后胃肠道症状的临床分析［J］. 中国现代手术学杂志， 2023， 27（2）： 81.
24 El Boghdady M， Ramakrishnan G， Alijani A. A study of the visual symptoms in two-dimensional versus three-dimensional laparoscopy［J］. Am J Surg， 2018， 216（6）： 1114.
25 Zhou J， Xu HJ， Liang CZ， et al. A comparative study of distinct ocular symptoms after performing laparoscopic surgical tasks using a three-dimensional surgical imaging system and a conventional two-dimensional surgical imaging system［J］. J Endourol， 2015， 29（7）： 816.
26 Sakata S， Grove PM， Hill A， et al. The viewpoint-specific failure of modern 3D displays in laparoscopic surgery［J］. Langenbecks Arch Surg， 2016， 401（7）： 1007.
","bibtexUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=BibTeX&id=720","articleType":"research-article","abstractUrl_en":"http://xuebao.sdfmu.edu.cn/EN/10.3969/j.issn.2097-0005.2024.12.005","qi":"12","id":720,"nian":2024,"bianHao":"1734670628632-669983071","zuoZheEn_L":"Yue PENG, Cheng YANG, Qingsheng FU, Ruijie LI, Yabin XIA","juanUrl_en":"http://xuebao.sdfmu.edu.cn/EN/Y2024","shouCiFaBuRiQi":"2024-12-20","qiShiYe":"733","received":"2024-06-19","qiUrl_cn":"//www.pitakata.com/xuebao/CN/Y2024/V45/I12","lanMu_cn":"临床研究","pdfSize":"443","zuoZhe_CN":"彭悦1, 杨成1, 符清胜1, 李锐洁2, 夏亚斌1()","risUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=Ris&id=720","title_cn":"3D腹腔镜在袖状胃切除术中的应用价值","doi":"10.3969/j.issn.2097-0005.2024.12.005","jieShuYe":"736","keywordList_en":["3D laparoscope","2D laparoscope","laparoscopic sleeve gastrectomy"],"endNoteUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=EndNote&id=720","zhaiyao_en":"

Objective To investigate the application value of three-dimensional （3D） laparoscopy in sleeve gastrectomy. Methods A total of 101 obese patients who underwent laparoscopic sleeve gastrectomy in the First Affiliated Hospital of Wannan Medical College from September 2022 to September 2023 were selected for retrospective analysis. According to the choice of laparoscopic system， the patients were divided into 2D group and 3D group. The surgical method was standard laparoscopic sleeve gastrectomy， Compare two groups of the total operation time， stomach cut edge and greater omentum suture time， intraoperative blood loss， postoperative related indicators. Results There were 47 patients in the 2D laparoscopic group and 54 patients in the 3D laparoscopic group. All patients successfully underwent laparoscopic sleeve gastrectomy without conversion to open surgery. There was no conversion to 2D laparoscopic surgery in the 3D group. Compared with the 2D group， the 3D group had shorter total operation time， shorter suture time of gastric resection margin and greater omentum （P < 0.05）， and less intraoperative blood loss （P < 0.05）. There was no significant difference in postoperative related indicators between the two groups （P > 0.05）. Conclusion 3D laparoscopy can shorten the operation time， reduce intraoperative blood loss and improve the quality of operation， which has high clinical application value.

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"],"authorList_en":[{"zuoZheDiZhiL_cn":["皖南医学院第一附属医院胃肠外科，安徽 芜湖 241001 ;"],"deceased":false,"name_cn":"彭悦","zuoZheDiZhiL_en":["The Department of Gastrointestinal Surgery，The First Affiliated Hospital of Wannan Medical College，Wuhu 241001，China ;"],"name_en":"Yue PENG"},{"zuoZheDiZhiL_cn":["皖南医学院第一附属医院胃肠外科，安徽 芜湖 241001 ;"],"deceased":false,"name_cn":"杨成","zuoZheDiZhiL_en":["The Department of Gastrointestinal Surgery，The First Affiliated Hospital of Wannan Medical College，Wuhu 241001，China ;"],"name_en":"Cheng YANG"},{"zuoZheDiZhiL_cn":["皖南医学院第一附属医院胃肠外科，安徽 芜湖 241001 ;"],"deceased":false,"name_cn":"符清胜","zuoZheDiZhiL_en":["The Department of Gastrointestinal Surgery，The First Affiliated Hospital of Wannan Medical College，Wuhu 241001，China ;"],"name_en":"Qingsheng FU"},{"zuoZheDiZhiL_cn":["皖南医学院临床医学院，安徽 芜湖 241002 ;"],"deceased":false,"name_cn":"李锐洁","zuoZheDiZhiL_en":["Clinical Medical School in Wannan Medical College，Wuhu 241002，China ;"],"name_en":"Ruijie LI"},{"zuoZheDiZhiL_cn":["皖南医学院第一附属医院胃肠外科，安徽 芜湖 241001 ;"],"deceased":false,"name_cn":"夏亚斌","email":"xiayabin1971@163.com","zuoZheDiZhiL_en":["The Department of Gastrointestinal Surgery，The First Affiliated Hospital of Wannan Medical College，Wuhu 241001，China ;"],"name_en":"Yabin XIA"}]}">

3D腹腔镜在袖状胃切除术中的应用价值

彭悦, 杨成, 符清胜, 李锐洁, 夏亚斌

betway必威登陆网址 (betway.com )学报››2024, Vol. 45››Issue (12): 733-736.

PDF(443 KB)
PDF(443 KB)
betway必威登陆网址 (betway.com )学报 ›› 2024, Vol. 45 ›› Issue (12) : 733-736. DOI: 10.3969/j.issn.2097-0005.2024.12.005
临床研究

3D腹腔镜在袖状胃切除术中的应用价值

    作者信息 +

    Application value of 3D laparoscopy in sleeve gastrectomy

      Author information +
      文章历史 +

      摘要

      目的评价3D腹腔镜在袖状胃切除术中的应用价值。方法选取2022年9月—2023年9月于皖南医学院第一附属医院接受腹腔镜袖状胃切除术的肥胖患者共101例进行回顾性分析。根据腹腔镜系统选择不同，分为2D腹腔镜组（47例）和3D腹腔镜组（54例），手术方式均为标准腹腔镜袖状胃切除术，所有患者均顺利完成腹腔镜袖状胃切除术，无术中转为开放手术病例。比较2组的总手术时间、胃切缘及大网膜缝合时间、术中出血量、术后相关指标。结果3D腹腔镜组无中转变更为2D腹腔镜手术病例。3D腹腔镜组的总手术时间、胃切缘及大网膜缝合时间均短于2D腹腔镜组，术中出血量也少于2D腹腔镜组，差异均有统计学意义（P均 < 0.05）。2组在术后相关指标方面差异无统计学意义（P> 0.05）。结论3D腹腔镜在袖状胃切除术中能够缩短手术时间，减少术中出血，提高手术质量，具有较高的临床应用价值。

      Abstract

      ObjectiveTo investigate the application value of three-dimensional （3D） laparoscopy in sleeve gastrectomy.MethodsA total of 101 obese patients who underwent laparoscopic sleeve gastrectomy in the First Affiliated Hospital of Wannan Medical College from September 2022 to September 2023 were selected for retrospective analysis. According to the choice of laparoscopic system， the patients were divided into 2D group and 3D group. The surgical method was standard laparoscopic sleeve gastrectomy， Compare two groups of the total operation time， stomach cut edge and greater omentum suture time， intraoperative blood loss， postoperative related indicators.ResultsThere were 47 patients in the 2D laparoscopic group and 54 patients in the 3D laparoscopic group. All patients successfully underwent laparoscopic sleeve gastrectomy without conversion to open surgery. There was no conversion to 2D laparoscopic surgery in the 3D group. Compared with the 2D group， the 3D group had shorter total operation time， shorter suture time of gastric resection margin and greater omentum （P< 0.05）， and less intraoperative blood loss （P< 0.05）. There was no significant difference in postoperative related indicators between the two groups （P> 0.05）.Conclusion3D laparoscopy can shorten the operation time， reduce intraoperative blood loss and improve the quality of operation， which has high clinical application value.

      关键词

      3D腹腔镜/2D腹腔镜/腹腔镜袖状胃切除术

      Key words

      3D laparoscope/2D laparoscope/laparoscopic sleeve gastrectomy

      引用本文

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      导出引用
      彭悦, 杨成, 符清胜, 李锐洁, 夏亚斌.3D腹腔镜在袖状胃切除术中的应用价值[J]. betway必威登陆网址 (betway.com )学报. 2024, 45(12): 733-736 https://doi.org/10.3969/j.issn.2097-0005.2024.12.005
      Yue PENG, Cheng YANG, Qingsheng FU, Ruijie LI, Yabin XIA.Application value of 3D laparoscopy in sleeve gastrectomy[J]. Journal of ShanDong First Medical University&ShanDong Academy of Medical Sciences. 2024, 45(12): 733-736 https://doi.org/10.3969/j.issn.2097-0005.2024.12.005

      参考文献

      1 Angrisani L， Santonicola A， Iovino P， et al. IFSO worldwide survey 2016： primary， endoluminal， and revisional procedures［J］.Obes Surg，2018，28（12）： 3783.
      2 Bou Daher H， Sharara AI. Gastroesophageal reflux disease， obesity and laparoscopic sleeve gastrectomy： the burning questions［J］.World J Gastroenterol，2019，25（33）： 4805.
      3 English WJ， DeMaria EJ， Brethauer SA， et al. American society for metabolic and bariatric surgery estimation of metabolic and bariatric procedures performed in the United States in 2016［J］.Surg Obes Relat Dis，2018，14（3）： 259.
      4 郑民华， 马君俊， 蔡正昊， 等. 3D腹腔镜手术技术中国专家共识（2019版）［J］.中国实用外科杂志，2019，39（11）： 1136.
      5 陈曦， 肖遥. 3D腹腔镜在外科手术中的应用进展［J］.山东医药，2019，59（36）： 108.
      6 王勇， 王存川， 朱晒红， 等. 中国肥胖及2型糖尿病外科治疗指南（2019版）［J］.中国实用外科杂志，2019，39（4）： 301.
      7 王存川， 张鹏， 赵玉沛. 腹腔镜袖状胃切除术操作指南（2018版）［J］.中华肥胖与代谢病电子杂志，2018，4（4）： 196.
      8 Gagner M， Hutchinson C， Rosenthal R. Fifth International Consensus Conference： current status of sleeve gastrectomy［J］.Surg Obes Relat Dis，2016，12（4）：750-756.
      9 Hanna GB， Shimi SM， Cuschieri A. Randomised study of influence of two-dimensional versus three-dimensional imaging on performance of laparoscopic cholecystectomy［J］.Lancet，1998，351（9098）： 248.
      10 汪天时， 刘铜军. 3D 腹腔镜手术的优势与应用前景［J］.中华结直肠疾病电子杂志，2015（5）： 483.
      11 de Almeida RAR， Qureshi YA， Morawala AJ， et al. Impact of 3D laparoscopic surgical training on performance in standard 2D laparoscopic simulation： a randomised prospective study［J］.J Surg Simula，2018，5（1）： 1-7.
      12 Poudel S， Kurashima Y， Watanabe Y， et al. Impact of 3D in the training of basic laparoscopic skills and its transferability to 2D environment： a prospective randomized controlled trial［J］.Surg Endosc，2017，31（3）： 1111.
      13 Angrisani L， Santonicola A， Iovino P， et al. Bariatric surgery and endoluminal procedures： IFSO worldwide survey 2014［J］.Obes Surg，2017，27（9）： 2279.
      14 Marceau P， Biron S， Bourque RA， et al. Biliopancreatic diversion with a new type of gastrectomy［J］.Obes Surg，1993，3（1）：29.
      15 Ren CJ， Patterson E， Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch： a case series of 40 consecutive patients［J］.Obes Surg，2000，10（6）： 514.
      16 Regan JP， Inabnet WB， Gagner M， et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient［J］.Obes Surg，2003，13（6）： 861.
      17 Gagner M， Hutchinson C， Rosenthal R. Fifth International Consensus Conference： current status of sleeve gastrectomy［J］.Surg Obes Relat Dis，2016，12（4）：750.
      18 王勇， 谢佳冀. 减重及代谢外科手术的关键技术标准及评价［J］.中国实用外科杂志，2024，44（1）： 70.
      19 刘金钢， 张忠涛， 王存川， 等. 腹腔镜胃袖状切除术后胃漏诊断、预防及处理中国专家共识（2021版）［J］.中国实用外科杂志，2021，41（6）： 633.
      20 Sakran N， Goitein D， Raziel A， et al. Gastric leaks after sleeve gastrectomy： a multicenter experience with 2，834 patients［J］.Surg Endosc，2013，27（1）： 240.
      21 Knapps J， Ghanem M， Clements J， et al. A systematic review of staple-line reinforcement in laparoscopic sleeve gastrectomy［J］.JSLS，2013，17（3）： 390.
      22 Highet A， Johnson EH， Bonham AJ， et al. Cost-effectiveness of staple line reinforcement in laparoscopic sleeve gastrectomy［J］.Ann Surg，2023，277（1）： 121.
      23 李士军， 解晶晶， 屈兵， 等. 网膜复位固定术对减少腹腔镜袖状胃切除术后胃肠道症状的临床分析［J］.中国现代手术学杂志，2023，27（2）： 81.
      24 El Boghdady M， Ramakrishnan G， Alijani A. A study of the visual symptoms in two-dimensional versus three-dimensional laparoscopy［J］.Am J Surg，2018，216（6）： 1114.
      25 Zhou J， Xu HJ， Liang CZ， et al. A comparative study of distinct ocular symptoms after performing laparoscopic surgical tasks using a three-dimensional surgical imaging system and a conventional two-dimensional surgical imaging system［J］.J Endourol，2015，29（7）： 816.
      26 Sakata S， Grove PM， Hill A， et al. The viewpoint-specific failure of modern 3D displays in laparoscopic surgery［J］.Langenbecks Arch Surg，2016，401（7）： 1007.

      基金

      国家科技部重点研发计划(2022YFC2505204);国家自然科学基金(309710077)

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