Lu Feng, Qiu Lei, Yu Peng, Xu Da-Lai, Miao Yong-Chang, Wang Gang
Department of General Surgery, Second People's Hospital of Lianyungang, Lianyungang, Jiangsu, China.
Front Oncol. 2023 Jun 19;13:1195404. doi: 10.3389/fonc.2023.1195404. eCollection 2023.
To investigate the application value of a three-dimensional (3D) printed pelvic model in laparoscopic radical resection of rectal cancer.
Clinical data of patients undergoing laparoscopic radical rectal cancer surgery in The Second People's Hospital of Lianyungang City from May 2020 to April 2022 were selected. Patients were randomly divided into general imaging examination group (control group, n=25) and 3D printing group (observation group, n=25) by random number table method, and the perioperative situation of patients in the two groups was compared.
There was no significant difference in general data between the two groups (p>0.05). Operation time, intraoperative blood loss, intraoperative time to locate inferior mesenteric artery, intraoperative time to locate left colic artery, first postoperative exhaust time and length of hospital stay in the observation group were all lower than those in the control group (P < 0.05); There were no significant differences in the total number of lymph nodes and complications between the two groups (P > 0.05).
The application of 3D printed pelvic model in laparoscopic radical resection of rectal cancer is conducive to understanding pelvic structure and mesenteric vascular anatomy, reducing intraoperative bleeding and shortening operation time, which is worthy of further clinical application.
探讨三维（3D）打印骨盆模型在腹腔镜直肠癌根治术中的应用价值。
选取2020年5月至2022年4月在连云港市第二人民医院接受腹腔镜直肠癌根治术患者的临床资料。采用随机数字表法将患者随机分为普通影像检查组（对照组，n = 25）和3D打印组（观察组，n = 25），比较两组患者的围手术期情况。
两组患者一般资料比较，差异无统计学意义（p>0.05）。观察组手术时间、术中出血量、术中肠系膜下动脉定位时间、术中左结肠动脉定位时间、术后首次排气时间及住院时间均低于对照组（P < 0.05）；两组患者淋巴结清扫总数及并发症发生情况比较，差异无统计学意义（P > 0.05）。
3D打印骨盆模型应用于腹腔镜直肠癌根治术有利于了解骨盆结构及肠系膜血管解剖，减少术中出血，缩短手术时间，值得临床进一步应用。
