8K/二维腹腔镜结直肠手术100例体会——8K/二维腹腔镜的评价及使用方法

背景：
8K超高清成像技术（7680×4320像素）的分辨率是目前高清技术（1920×1080像素）的16倍。 8K/二维（2D）腹腔镜于2014年进入临床，但有关其应用的报道很少。 本研究的目的是评估临床使用 8K/2D 腹腔镜的适当使用方法和问题。

主题和方法：
患者为 2018 年 11 月至 2021 年 3 月期间在旭川医科大学医院接受 8K/2D 腹腔镜检查的 100 名结直肠手术患者。评估了 8K/2D 腹腔镜检查的有效性、操作条件、方法和问题。

结果：
中位年龄为 68.5 岁。 原发疾病为左侧结肠直肠恶性肿瘤92例。 5例行右侧结肠切除术，3例行溃疡性结肠炎全结肠切除术。 8K/2D 腹腔镜的正确应用可以通过坚持某些技巧来实现，例如将手术室变暗并与显示器保持适当的距离。 关于 8K/2D 腹腔镜引起的术中并发症，一名患者观察到腹腔镜尖端的热量导致皮肤灼伤。 没有因 8K/2D 腹腔镜检查而出现并发症的病例。

结论：
8K/2D腹腔镜可安全用于结直肠手术。 还有一些正确使用的小窍门，比如与显示器保持适当的距离，把房间调暗。 然而，8K/2D 腹腔镜可以提供细腻的图像，并且可以在没有任何操作问题的情况下使用。

8K/二维腹腔镜结直肠手术100例体会——8K/二维腹腔镜的评价及使用方法

(a) 8K/二维腹腔镜术中图像。 小血管的轮廓比传统图像更清晰可见。 (b) 内侧入路时 8K/二维腹腔镜图像。 不仅可以清楚地看到大血管，还可以清楚地看到小血管。 虽然是二维腹腔镜，但是可以看到像三维腹腔镜一样的立体效果

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