腹腔镜下胃癌根治术手术配合及护理.docx

腹腔镜下胃癌根治术手术配合及护理 屠丽娜 （上海中医药大学龙华医院手术室） 摘要：目的：探讨腹腔镜下胃癌根治术的 手术护理配合。方法：回顾性分析30例经腹腔镜手术治疗的胃癌患者临床资料,总结手术期间的护理配合要点。结果：30例患者的手术均获得成功,无中转开腹的患者,术中巡回护士和器械护士配合较好。结论：充分做好术前准备,做好术中配合以及良好的设备保障,是提高手术配 合质量,保证手术顺利进行的关键。 关键词：? HYPERLINK /Search/Result?keyword=%E8%85%B9%E8%85%94%E9%95%9C \t _blank 腹腔镜? HYPERLINK /Search/Result?keyword=%E8%83%83%E7%99%8C%E6%A0%B9%E6%B2%BB%E6%9C%AF \t _blank 胃癌根治术? HYPERLINK /Search/Result?keyword=%E6%89%8B%E6%9C%AF%E9%85%8D%E5%90%88 \t _blank 手术配合? 护理安全 Laparoscopic Gastric Cancer Radical Surgery and Nursing  HYPERLINK javascript:void(0); Abstract: Objective:To explore observation and nursing?of laparoscopic radical gastrectomy .Methods: The clinical data of 30 cases of gastric cancer patients undergoing laparoscopic surgery were retrospectively analyzed, and the points of nursing cooperation during operation were summarized.Results: All the 30 patients were successfully operated. The patients who were not converted to open laparotomy had good cooperation with the nurse and equipment nurses. Conclusion: It is the key to improve the quality of operation and ensure the successful operation of the operation. Key words:  HYPERLINK javascript:void(0); laparoscope;  HYPERLINK javascript:void(0); radical  HYPERLINK javascript:void(0); operation  HYPERLINK javascript:void(0); for  HYPERLINK javascript:void(0); carcinoma? HYPERLINK javascript:void(0); of? HYPERLINK javascript:void(0); stomach;  HYPERLINK javascript:void(0); operation? HYPERLINK javascript:void(0); cooperation; nursing safety 腹腔镜手术是一种微创手术，是在人工气腹创建的腹腔空间内，通过穿刺孔建立的可视通道和操作通道。由于腹腔镜手术具有创伤小、术后恢复快等优越性,因此在外科手术领域有了迅速发展。今后将有越来越多且难度越来越大的手术由腹腔镜来完成。由于腹腔镜手术的实施必须具备气腹、光导仪器设备、鞘内操作器械、特殊体位等条件相对于传统开腹手术,可能发生的并发症和安全问题也要多些。如何确保手术圆满成功,是手术室护理工作需要重视的。其中洗手护士与巡回护士相应固定，熟练掌握各种仪器的使用方法，熟悉各种手术步骤，密切配合，对仪器设备严格消毒和精细保养，这些对保证手术的顺利进行具有重要意义。腹腔镜胃癌根治术是近年来国内开展的一项新技术,具有术中出血少、术后疼痛轻、腹壁切口小、并发症少、住院时间短、全身免疫功能影响小的微创优势,因而深受广大患者喜爱。现将腹腔镜下胃癌根治术的手术配合及护理体会报道如下。 1 资料和方法 1. 1 一般资料 选择2016年1月到6月在本院住院的30例腹腔镜胃癌根治术