机器人辅助腹腔镜行儿童上尿路手术的护理配合  

Nursing cooperation of robot-assisted laparoscopic upper urinary tract surgery in children

作　　者：王亚 郝雪梅 熊岩 徐欣[1] 王筱君 Wang Ya;Hao Xuemei;Xiong Yan;Xu Xin;Wang Xiaojun(Department of Oprating Room,The Seventh Medical Center of PLA General Hospital,Beijing 100700,China)

机构地区：[1]解放军总医院第七医学中心手术室,北京100700

出　　处：《发育医学电子杂志》2020年第2期183-186,共4页Journal of Developmental Medicine (Electronic Version)

摘　　要：目的总结机器人辅助腹腔镜行儿童上尿路手术的护理配合经验。方法回顾性分析2017年3月至2017年12月在解放军总医院第七医学中心,接受机器人辅助腹腔镜行上尿路手术140例患儿的临床资料,总结机器人辅助腔镜手术的术前准备、用物准备、手术布局和体位安置等护理配合注意事项。结果 140例患儿中男103例,女37例。平均体重为(18.1±15.0) kg,体重≥40 kg者39例,体重<40 kg者101例。手术的平均体位安置时间为(13.8±5.1)min。所有手术均顺利完成,无中转开放手术,未发生因手术布局及体位不当所导致的手术操作困难及术后相关并发症。结论良好的手术布局、体位安置是机器人辅助腹腔镜行儿童上尿路手术顺利开展与完成的重要前提。良好的手术布局有利于手术团队在手术中协作、交流与配合。良好的体位安置有利于发挥机器人手术优势、有助于主刀灵活操作及其与助手有效地配合,使手术更加安全、有效。Objective To summarize the experience of nursing cooperation in robot-assisted laparoscopic upper urinary tract operations for children. Methods From March to December 2017, clinical data of 140 cases with robot-assisted laparoscopic upper urinary tract surgery were collected and analyzed retrospectively. The nursing cooperation announcements of the preoperative preparations, prepared supplies, the layout of operation and position placement were summarized. Results A total of 103 cases were male and 37 were female in 140 children. Of that the average weight was(18.1±15.0) kg, the weight of 39 cases was ≥ 40 kg and the other weight of 101 cases was <40 kg. The average placement time for surgical position was(13.8±5.1)min. All surgeries were carried out by Da Vinci robot successfully without conversion to open surgery, the postoperative complications and difficulties of surgery operations caused by improper placement and the layout of operation were not happened. Conclusions A good surgical layout and patient positioning are important premise for the carrying out of robot-assisted laparoscopic upper urinary tract surgery. A good surgical layout is beneficial to the communication and cooperation in the operation for the surgical team. A good patient positioning is beneficial to take advantage of robotic surgery, operate flexibly for the operator, cooperate effectively for the assistant accompanying more safe and effective for surgery.

关 键 词：机器人腹腔镜手术 护理配合 儿童 上尿路手术 

分 类 号：R472.3[医药卫生—护理学]