The role of 3D laparoscopy in improving the success rate and safety of radical gastrectomy and its influence on the incidence of operative complications

Abstract

Objective To evaluate the clinical value of 3D laparoscopic surgery in radical gastrectomy. Methods A retrospective analysis was conducted on 76 patients (from March 2013 to March 2016) who were treated with radical gastrectomy in our hospital, according to the surgical method 76 patients were divided into 3D group (38 cases), 2D group (38 cases). Statistical analysis were performed by using SPSS16.0 software. Intraoperative and postoperative clinical indicators were presented as mean±standard deviation, and were examined by using t test. The postoperative complication rate were expressed as %, and were compared with χ2 test. P<0.05 was thought to be statistically significant. Results Compared with 2D group, there no significant differences in terms of surgical incision length, number of harvested lymph nodes, the number of positive lymph nodes, postoperative exhaust time, postoperative gastrointestinal decompression time, postoperative drainage time, postoperative hospitalization and medical expenses in 3D group (P>0.05), however, there were less blood loss and operation time in 3D group, with significant difference (P<0.05). Meanwhile, complication rate of 7.89% in 3D group was significantly lower than 26.32% in 2D group (χ2=5.322, P=0.021<0.05). Conclusion Compared with 2D laparoscopic radical gastrectomy, 3D laparoscopic surgery has the advantages of shorter operation time, less blood loss and lower postoperative complication rate. Key words: Stomach Neoplasms; Laparoscopy; Gastrectomy; Postoperative Complications