[1]唐开强,庞诗语,包继明,等.3D腹腔镜与2D腹腔镜在前列腺癌根治术中的对比:回顾性队列研究[J].南方医科大学学报,2017,(01):1.
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3D腹腔镜与2D腹腔镜在前列腺癌根治术中的对比:回顾性队列研究()
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《南方医科大学学报》[ISSN:/CN:]

卷:
期数:
2017年01期
页码:
1
栏目:
出版日期:
2017-01-20

文章信息/Info

Title:
Three-dimensional versus two-dimensional imaging systems in laparoscopic radical prostatectomy for prostate cancer: a retrospective cohort study
作者:
唐开强庞诗语包继明类成勇谭万龙
关键词:
3D腹腔镜2D腹腔镜腹腔镜下前列腺癌根治术
Keywords:
three-dimensional imaging systems two-dimensional imaging systems laparoscopic radical prostatectomy prostatecancer
摘要:
目的对3D腹腔镜与2D腹腔镜在前列腺癌根治术中的围手术期结果、功能性及肿瘤相关性结果进行比较。方法从2014
年2月至2016年1月,72位临床局限性前列腺癌患者接受了腹腔镜下前列腺根治术,手术均由同一名有经验的术者操作完成。
收集及评估患者的临床基本特征,围手术期结果,功能及肿瘤相关结果。结果36位病人接受了3D腹腔镜前列腺癌根治术,另
外36位病人接受了2D腹腔镜前列腺癌根治术。3D腹腔镜组比2D腹腔镜组手术时间短(167 min vs 218 min,P<0.001),平均
出血量少(86.11 mL vs 177.78 mL,P<0.001),且两组术后3个月尿控率有统计学差异(88.89% vs 63.89%,P=0.026)。两组间手
术并发症、性功能恢复及无生化复发率无明显差异。结论与2D腹腔镜下前列腺癌根治术相比,3D腹腔镜下前列腺癌根治术
的手术时间更短,出血更少,术后早期尿控情况更好。
Abstract:
Objective To compare the perioperative, functional and oncologic outcomes of patients with prostate cancer receiving
laparoscopic radical prostatectomy (LRP) using three-dimensional (3D) versus two-dimensional (2D) imaging systems. Methods
From February, 2014 to January 2016, 72 consecutive patients with clinically localized prostate cancer underwent LRP with 2D or
3D imaging systems performed by a single experienced surgeon. The baseline characteristics, perioperative data, and functional
and oncologic outcomes of the patients were collected and analyzed. Results Thirty-six patients underwent 3D LRP and the
other 36 patients underwent 2D LRP. Compared with 2D LRP group, 3D LRP group had a significantly shorter operative time
(167 vs 218 min, P<0.001), a smaller volume of intraoperative blood loss (86.11 vs 177.78 mL, P<0.001) and a better early urinary
continence outcome (88.89% vs 63.89%, P=0.026). No significant differences were found between the two groups in terms of
complications, potency outcome or biochemical recurrence-free rate. Conclusion Compared with 2D LRP, 3D LRP shortens the
operative time, reduces intraoperative blood loss and is associated with a better early urinary continence outcome in patients
with clinically localized prostate cancer.

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[1]范应方,项楠.3D腹腔镜胆囊切除术治疗胆囊结石1例并文献复习[J].南方医科大学学报,2013,(12):1856.
[2]方驰华,方兆山,范应方,等.三维可视化、3D打印及3D腹腔镜在肝肿瘤外科诊治中的应用[J].南方医科大学学报,2015,(05):639.
[3]赵大川,黄宗海,邹兆伟.3D腹腔镜系统的临床应用进展[J].南方医科大学学报,2014,(04):594.
[4]曾宁,方驰华,杨剑,等.3D腹腔镜在复杂性胆囊切除术中的临床应用[J].南方医科大学学报,2016,(01):145.
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更新日期/Last Update: 1900-01-01