机器人辅助腹腔镜精准肝切除的手术配合

Intraoperative nursing cooperation for robotic-assisted laparoscopic precise liver resection

目的探讨机器人辅助腹腔镜精准肝切除手术的护理配合。方法回顾性分析13例机器人辅助腹腔镜精准肝切除手术资料，对本组手术的术前准备、术中配合及紧急情况的处理进行总结。结果13例患者均成功接受了机器人辅助腹腔镜精准肝切除术，术前准备、术中配合、特殊情况应对及术后整理均不断改进，取得满意的护理效果。结论机器人手术方式扩展到多专科多种术式，准备与沟通、谨慎的安置与保护，是手术护理伴随手术技术发展呈现专科护士作用的重要保障。

Objective To investigate intraoperative nursing cooperation for robotic-assisted laparoscopic precise liver resection. Methods Between April and July 2009, 13 consecutive patients underwent roboticassisted laparoscopie anatomic hepatectomy for benign and malignant hepatic diseases. The clinical data of preoperative preparation, intraoperative cooperation and management of emergency were analyzed retrospectively and summarized gradually. Results All 13 robotic-assisted laparoscopic precise liver resections were performed successfully in the manner of pure laparoscopic resection. The nursing protocol was formulated to improve the preoperative preparation, intraoperative cooperation, management of emergency and postoperative summary. The nursing outcome was satisfactory due to effective nursing strategy. Conclusions Robotic surgery has been expanded into multi-disciplinary field, therefore preparation, communication, discreet placement and protection are important guarantees in its development.