Application value of 3D laparoscopy in the treatment of hepatic alveolar echinococcosis

doi:10.3877/cma.j.issn.2095-3232.2020.06.015

Abstract

Abstract:

Objective

To evaluate the application of 3D laparoscopy in the treatment of hepatic alveolar echinococcosis (HAE).

Methods

Clinical data of 52 HAE patients admitted to the First Affiliated Hospital of Xinjiang Medical University from January 2017 to January 2019 were retrospectively analyzed. Among them, 23 patients were male and 29 female, aged (39±12) years on average. The informed consents of all patients were obtained and the local ethical committee approval was received. All patients were divided into the 3D laparoscopy group (n=12) and open surgery group (n=40) according to different surgical methods. Perioperative conditions were compared between two groups. The intraoperative blood loss and the length of postoperative catheter retention were statistically compared between two groups by rank-sum test. The incidence of postoperative complications was compared by Chi-square test.

Results

In the 3D laparoscopy group, the intraoperative blood loss, length of postoperative catheter retention and postoperative length of hospital stay were 150(188) ml, 4(1) d and 6(2) d, significantly less than 400(300) ml, 7(4) d and 9(4) d in the open surgery group (Z=-3.568, -3.956, -2.675; P<0.05). The incidence of postoperative complications in the 3D laparoscopy group was 25%(3/12), which was significantly lower than 68%(27/40) in the open surgery group (χ2=6.831, P<0.05).

Conclusions

Application of 3D laparoscopy is a safe and feasible option in the treatment of HAE, which has the advantages of precision and minimally invasive.

Key words: Imaging, three-dimensional, Laparoscopes, Echinococcosis, hepatic, Hepatectomy

Jianxiong Ma, Shuai Duan, Aji Tuerganaili·, Bo Ran, Qiang Guo, Tiemin Jiang, Yingmei Shao. Application value of 3D laparoscopy in the treatment of hepatic alveolar echinococcosis[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2020, 09(06): 567-570.

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References 19

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组别	例数	性别（男/女）	年龄（岁，±s）	病灶直径（cm，±s）	手术方式（例）
组别	例数	性别（男/女）	年龄（岁，±s）	病灶直径（cm，±s）	不规则肝切除	半肝切除
3D腔镜组	12	6/6	33±10	9.3±2.7	6	6
开腹组	40	17/23	40±13	8.1±3.2	23	17
统计值		χ²=0.210	t=-1.855	t=1.215	χ²=0.210
P值		0.646	0.069	0.230	0.646

组别	例数	性别（男/女）	年龄（岁，±s）	病灶直径（cm，±s）	手术方式（例）
组别	例数	性别（男/女）	年龄（岁，±s）	病灶直径（cm，±s）	不规则肝切除	半肝切除
3D腔镜组	12	6/6	33±10	9.3±2.7	6	6
开腹组	40	17/23	40±13	8.1±3.2	23	17
统计值		χ²=0.210	t=-1.855	t=1.215	χ²=0.210
P值		0.646	0.069	0.230	0.646

组别	例数	手术时间(min，±s)	术中出血量[ml，M(R)]	术后带管时间[d，M(R)]	术后住院时间[d，M(R)]	住院费用(万元，±s)
3D腔镜组	12	273±99	150（188）	4（1）	6（2）	5.3±1.4
开腹组	40	309±137	400（300）	7（4）	9（4）	6.2±1.9
统计值		t=-0.843	Z=-3.568	Z=-3.956	Z=-2.675	t=-1.395
P值		0.403	<0.001	<0.001	0.007	0.169

组别	例数	手术时间(min，±s)	术中出血量[ml，M(R)]	术后带管时间[d，M(R)]	术后住院时间[d，M(R)]	住院费用(万元，±s)
3D腔镜组	12	273±99	150（188）	4（1）	6（2）	5.3±1.4
开腹组	40	309±137	400（300）	7（4）	9（4）	6.2±1.9
统计值		t=-0.843	Z=-3.568	Z=-3.956	Z=-2.675	t=-1.395
P值		0.403	<0.001	<0.001	0.007	0.169

组别	例数	术后并发症	胸腔积液	肺部感染	切口感染	胆漏
3D腔镜组	12	3	3	1	0	0
开腹组	40	27	25	6	2	2
χ²值		6.831	5.223	0.012	-	-
P值		0.009	0.022	0.911	1.000	1.000

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