经胸肋三角手辅助胸腔镜下双肺转移瘤切除的手术配合  

Operative cooperation of trans-sternocostal triangle hand-assisted double lung metastatic tumor resection

作　　者：吴枚禅[1] 王耀兰[1] 郑燕[1] 龙浩[1] 

机构地区：[1]中山大学肿瘤医院,广东广州510060

出　　处：《现代临床护理》2013年第8期32-34,共3页Modern Clinical Nursing

基　　金：广东省科技厅资助项目;项目编号为2011B031800180

摘　　要：目的探讨并总结经胸肋三角手辅助胸腔镜下双肺转移瘤切除的手术配合经验。方法回顾性分析54例经胸肋三角手辅助胸腔镜下双肺转移瘤切除手术的护理配合经验。结果54例患者手术顺利，术中出血量10～700 mL，平均（91.6±27.0）mL，手术时间40～300 min，平均（130.3±43.0）min，手术效果满意，切除恶性肿瘤病灶178个。术后无发生严重并发症。结论术前做好特殊器械和设备的准备，熟练合理安置体位，术中严格执行无瘤和无菌操作，掌握内镜切割缝合器装卸，熟练、准确地配合完成手术各个步骤是保证患者手术成功的关键。Objective To explore the experience of operative cooperation of trans-sternocostal triangle hand-assisted double lung metastatic tumor resection.Method The clinical data of 54 patients undergoing trans-sternocostal triangle hand-assisted double lung metastatic tumor resection were retrospectively analyzed from January 2005 to December 2005.Results The operations were all successful,with blood loss of 10~700 mL,operation time of 40~300 min,averaged（130.3＋43.0）mins.One hundred and seventy eight malignant tumor lesions were removed.No serious complications occurred.Conclusion The key points to ensure thesuccessful operation were as follows：preoperation of special equipment,reasonable position,intraoperative strict aseptic operation,fixing of endoscopic incision suturing instrument,and accurate cooperation at all procedures.

关 键 词：手辅助 胸腔镜 双肺转移瘤 手术配合 

分 类 号：R472.3[医药卫生—护理学]