| Objective : The study aims to compare the feasibility and safety of 3D and 2D laparoscopic surgery during complete mesocolic excision(CME)in the treatment of right colon cancer.Methods:In this clinical retrospective study,160 cases were involved in the result analysis.80 patients underwent CME by high-definition 3D laparoscope between October 2014 and August 2017.80 cases were matched to a retrospective control group of patients who underwent CME by 2D laparoscope.We compared the difference between the two groups in the duration of operation,urinary catheter time,time to first flatus and defection,lymph nodes resection,hospital stay,surgery costs and postoperative complications.Results:The operation time and time to first flatus in the 3D group were statically less than the 2D group(162.4±30.51 vs.176.4±39.8min,P=0.013).Although there was no difference in total hospitalization costs(62470.2 ± 15435.5 vs.69481.1 ±79772.8RMB,P=0.442),there was a statistically significant reduction in costs of surgery in the 3D group(23167.5±4179.13 vs.21186.32±3801.2RMB,P=0.030).Conclusions:When compared with 2D laparoscopic surgery,3D laparoscopic CME of right colon cancer could shorten the time of operation and first flatus,which was safe and feasible in clinical practice. |
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