腹腔镜下远端胃癌根治手术的护理配合  

Experience of nursing cooperation of laparoscopic radical distal gastrectomy

作　　者：王晶晶 胡玲珍[2] 梅月英[2] 王翠 张君妮 Wang Jingjing;Hu Lingzhen;Mei Yueying;Wang Cui;Zhang Junni(Operating Room, Xi'an Gaoxin Hospital, Xi'an 710000, China;Cursing Department, Xi'an Gaoxin Hospital,Xi'an 710000, China)

机构地区：[1]西安高新医院手术室,710000 [2]西安高新医院护理部,710000

出　　处：《中华现代护理杂志》2019年第13期1698-1700,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨腹腔镜下远端胃癌根治手术的护理配合技巧。方法总结西安高新医院2014年1月一2017年12月开展的41例腹腔镜下远端胃癌根治手术的护理配合要点。结果41例患者中4例因胃周围组织分离不清或出现难于控制性出血而中转开腹手术,其余手术均顺利完成。手术时间240 ~ 350 min,术中出血(200 ± 42) ml,术后住院时间(7.0 ± 2.3) d,患者住院期间无手术并发症发生。结论术中护理人员熟悉手术过程及腹腔镜器械的性能和使用方法,合理而精准地配合手术操作,是腹腔镜下远端胃癌根治手术成功开展的关键。Objective To explore the nursing cooperation of laparoscopic radical distal gastrectomy. Methods From January 2014 to December 2017, we summarized the main points of nursing cooperation among 41 patients with laparoscopic radical distal gastrectomy at Xi'an Gaoxin Hospital. Results Among 41 patients, all operations were successful except four of them with laparotomy because of difficult peripheral tissue isolation of stomach or uncontrolled bleeding. The operation time, intraoperative blood loss and postoperative hospital stay were 240 to 350 min,(200 ± 42) ml and (7.0 ± 2.3) d respectively. No patients developed surgical complications during their hospital stay. Conclusions During operations, nurses are familiar with the surgical procedure, performance as well as methods of application of laparoscopic instruments, and cooperate reasonably and precisely in operation which is the key to carrying out laparoscopic radical distal gastrectomy successfully.

关 键 词：胃肿瘤 腹腔镜 手术室 护理配合 

分 类 号：R472.3[医药卫生—护理学]