机器人辅助腹腔镜联合胃镜切除胃间质瘤的手术配合体会  

Cooperation experience in robot-assisted laparoscopic and gastroscopic resection of gastric stromal tumors

作　　者：刘捷[1] 王钧[1] LIU Jie;WANG Jun(Operating Center,Tianjin People’s Hospital,Tianjin 300120,China)

机构地区：[1]天津市人民医院手术中心,天津300120

出　　处：《机器人外科学杂志（中英文）》2023年第6期561-566,共6页Chinese Journal of Robotic Surgery

基　　金：天津市人民医院科研项目(2021TJHL032)。

摘　　要：目的:总结2例达芬奇机器人辅助腹腔镜联合胃镜行胃间质瘤切除术的手术配合,提出护理配合要点。方法:术前将达芬奇机器人手术系统、内镜系统在手术间合理规划布局,完善手术器械及耗材准备。术中巡回护士妥善安置患者体位,采取预防压疮、保温等护理措施,准确对接Trocar与机器臂系统,关注手术进程,做好突发事件的应急准备。术后做好管道管理、医疗器械和废弃物处理。结果:经过医护团队的密切配合,2例患者在达芬奇机器人辅助腹腔镜与胃镜联合技术下均顺利完成手术,无中转开腹手术,未出现术中低体温、压力性损伤等相关并发症,未发生切口感染。结论:手术护理配合过程中要明确机器人辅助手术的关键流程及风险环节,做好手术护理安全管理。Objective:To summarize the nursing cooperation experience of 2 cases of robot-assisted laparoscopic and gastroscopic resection of gastric stromal tumor.Methods:The Da Vinci robotic surgical system and endoscopic system were properly planned and arranged in the operating room before surgery,the surgical instruments and consumables were well prepared.Patients’bodies were properly placed by the circulating nurses during the operation,nursing measures such as preventing pressure sore and keeping warm were taken.Make sure that Trocars and robotic arms were connected accurately.Be well prepared for emergencies during operation.Results:With the close cooperation of the surgical team,robot-assisted laparoscopic and gastroscopic surgeries were successfully performed in the two patients without conversion to open surgery.No intraoperative hypothermia,pressure injury,incision infection or other related complications occurred.Conclusion:The key procedures and risk factors in Da Vinci robot-assisted surgery should be defined,and the safe management measures should be done well.

关 键 词：机器人辅助手术 胃间质瘤 胃镜检查 护理 

分 类 号：R735.2[医药卫生—肿瘤] R473.6[医药卫生—临床医学]