一例达芬奇机器人辅助下奇静脉瘤切除的手术配合  

Da Vinci robot assistance surgical coordination for the resection of azygous vein aneurysm： a casereport

作　　者：郭东华[1] 邹敏[1] 周知[1] 徐威[1] 邓露[1] Guo Donghua;Zou Min;Zhou Zhi;Xu Wei;Deng Lu(Operation Room,the Second Xiangya Hospital of Central South University,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院手术部,长沙410011

出　　处：《中国实用护理杂志》2018年第32期2517-2519,共3页Chinese Journal of Practical Nursing

摘　　要：目的总结1例在行达芬奇机器人手术过程中诊断为奇静脉瘤的患者，继续在达芬奇机器人辅助下完成奇静脉瘤切除的手术配合。方法手术过程中诊断为奇静脉瘤后，立即启动应急预案，对术中主要问题的手术配合确定了护理分工。结果经过医护团队的密切配合，在达芬奇机器人辅助下顺利切除一个大小约5cru×4cm×3cm的奇静脉瘤，术后无并发症，恢复良好，术后第4天出院。结论针对达芬奇机器人手术制订出相应的应急预案并演练，在需要的时刻能立即启动应急预案，是继续在达芬奇机器人辅助下完成误诊手术的重要保证。Objective Summary of a patient who was diagnosed as an azygous vein aneurysm during Da Vinci robotic surgery, which continue to complete surgical resection of varicose veins by Da Vinci robot assistance. Methods After the patient is diagnosed as the azygos vein aneurysm during the operation, the emergency plan is started immediately, and the nursing cooperation is determined according to the operative coordination of the main problems during the operation. Results With the close cooperation of the medical team, an azygous vein aneurysm with a size of approximately 5 cm×4 cm×3 cm was successfully removed with the Da Vinci robot assistance, no complications occurred after surgery, and good recovery occurred, the patient was discharged on the fourth postoperative day. Conclusions It is essential to make corresponding emergency plan and exercise for Da Vinci robot operation , and to start contingency plan immediately when needed, which is an important guarantee to continue to complete misdiagnosis surgery under the aid of Da Vinci robot.

关 键 词：奇静脉瘤 纵隔肿物 达芬奇机器人 应急预案 

分 类 号：R472.3[医药卫生—护理学]