摘要
随着微创技术的快速发展,3D腹腔镜的出现使微创外科进入“精准时代”。60多年来,减重外科提供的大量临床证据证实：代谢减重外科手术对肥胖症合并2型糖尿病（T2DM）的治疗持久有效,成为肥胖症合并T2DM治疗的最佳治疗方式。笔者认为：3D 腹腔镜系统可更快帮助代谢减重手术初学者熟练掌握腹腔镜手术技术,缩短掌握技术要点的学习曲线。与2D腹腔镜手术比较,3D腹腔镜立体视觉对于经验丰富的代谢减重外科医师而言,有效缩短手术时间与代谢减重手术方式相关。手术步骤相对较为简单的腹腔镜胃袖状切除术几乎不会影响手术时间；腹腔镜胃转流术操作相对复杂,则能够充分利用3D 腹腔镜优势有效缩短手术时间。
With the rapid development of minimally invasive techniques, the emergence of three dimensional （3D） laparoscope leading minimally invasive surgical access ＂Precise Time＂. In the past 60 years, bariatric surgery provides a large number of clinical evidences to confirm： metabolic and bariatric surgery is lasting and effective for obesity combined with type 2 diabetes mellitus （T2DM）, and it is also the best treatment method for T2DM. The author believes that 3D laparoscopic system can help beginners quickly master laparoscopic surgical techniques and shorten the learning curve to master the technical points. Compared with twodimensional （2D） laparoscopic surgery, 3D laparoscopic stereo vision can help experienced baria tric surgeons shorten operation time which is related to surgical procedures. The shorter surgical procedure in laparoscopic sleeve gastrectomy is hardly affecting the operation time. Because gastric bypass surgery is relatively complex, 3D laparoscopic techniques which are fully utilized in gastric bypass surgery can effectively shorten the operation time.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2017年第1期43-46,共4页
Chinese Journal of Digestive Surgery
关键词
肥胖症
糖尿病
2型
腹腔镜检查
3D技术
代谢减重外科
Obesity
Type Ⅱ diabetes
Laparos-copy
Three-dimensional technology
Metabolic and bariatric surgery
