Köster S, Volz J, Melchert F
Universitäts Frauenklinik Mannheim, Fakultät für klinische Medizin, Universität Heidelberg.
Geburtshilfe Frauenheilkd. 1996 Aug;56(8):431-3. doi: 10.1055/s-2007-1023259.
In a prospective randomised study we investigated the possibilities of a 3 D-video system in comparison to a 2 D-video system in operative laparoscopy. On 76 patients the following operations were performed: enucleation of fibroids, extirpation of ovarian cysts, fimbrioplasty, tubo-tubal anastomosis and Burch's procedure via preperitoneal access. For microsurgical procedures of the adnexae the new 3 D-technology shows advantages in compared to the standard 2 D-laparoscopy. In these operations the operating area is naturally limited, and hence the disadvantages of the 3 D-technology like limited depth of focus are not important. The 3 D-system allows a very good visualisation even of small structures and safe and exact handling. For surgery of the uterus or larger tumours of the adnexae, the new technology is unsuited.
在一项前瞻性随机研究中,我们对比了3D视频系统和2D视频系统用于腹腔镜手术的可能性。我们对76例患者进行了以下手术:子宫肌瘤摘除术、卵巢囊肿切除术、输卵管成形术、输卵管吻合术以及经腹膜前入路的伯奇手术。对于附件的显微外科手术,与标准的2D腹腔镜检查相比,新的3D技术显示出优势。在这些手术中,手术区域自然受限,因此3D技术的缺点(如聚焦深度有限)并不重要。3D系统即使对于小结构也能实现非常好的可视化效果,并能进行安全、精确的操作。对于子宫手术或附件的较大肿瘤,这项新技术并不适用。