Yang Yi-Wen, Huang Sheng-Chieh, Chang Shih-Ching, Wang Huann-Sheng, Yang Shung-Haur, Chen Wei-Shone, Lan Yuan-Tzu, Lin Chun-Chi, Lin Hung-Hsin, Jiang Jeng-Kai
Department of Surgery, Division of Colon and Rectal Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.
Department of Surgery, Division of Colon and Rectal Surgery, Taipei Veterans General Hospital; Department of Surgery, Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei 112, Taiwan.
J Minim Access Surg. 2022 Apr-Jun;18(2):289-294. doi: 10.4103/jmas.JMAS_31_21.
Three-dimensional (3D) laparoscopy was developed to overcome the drawbacks of two-dimensional (2D) laparoscopy, namely lack of depth perception. However, the benefit of 3D laparoscopy in colorectal surgery is inconclusive. Here, we compare the 3-year follow-up outcomes of 3D and 2D laparoscopic colectomy.
A total of 91 consecutive patients who underwent either 3D or 2D laparoscopy colectomy from October 2015 to November 2017 by a single surgical team for colon cancer were enrolled. Data were collected from a prospectively constructed database, including clinico-pathological features and operative parameters. The pathological results, recurrence, survival and systemic treatment were collected from the Taiwan Cancer Database.
There were 47 patients in the 3D group and 44 in the 2D group. There were no significant differences in characteristics of patients, operation data, pathological results, complications, operative time, blood loss or the number of lymph node harvested between the two groups. In addition, disease-free survival and overall survival were equal between the two groups.
This is the first long-term result of a 3D laparoscopic colectomy. In our 3-year follow-up, there was no difference in long-term outcomes between 2D and 3D laparoscopy for colorectal surgery in an experienced centre.
三维（3D）腹腔镜技术的发展是为了克服二维（2D）腹腔镜技术缺乏深度感知的缺点。然而，3D腹腔镜技术在结直肠手术中的益处尚无定论。在此，我们比较3D和2D腹腔镜结肠切除术的3年随访结果。
纳入2015年10月至2017年11月由单一手术团队为结肠癌患者实施3D或2D腹腔镜结肠切除术的91例连续患者。数据从一个前瞻性构建的数据库中收集，包括临床病理特征和手术参数。病理结果、复发情况、生存率和全身治疗情况从台湾癌症数据库中收集。
3D组有47例患者，2D组有44例患者。两组患者的特征、手术数据、病理结果、并发症、手术时间、失血量或淋巴结清扫数量均无显著差异。此外，两组的无病生存率和总生存率相当。
这是3D腹腔镜结肠切除术的首个长期结果。在我们的3年随访中，在一个经验丰富的中心，2D和3D腹腔镜结直肠手术的长期结果没有差异。
