腹腔镜辅助直肠癌根治术中无瘤技术的护理配合

目的探讨腹腔镜辅助直肠癌根治术中无瘤技术的护理配合要点。方法回顾性分析本院2008年11月-2009年12月67例腹腔镜辅助直肠癌根治术患者的临床资料,并总结术中无瘤技术护理配合要点。结果 67例患者术程顺利,手术时间2.0-4.5h,平均(3.2±0.4)h;术后住院时间9-14d,平均(11.2±1.8)d;出院后随访15-28个月,1例患者术后19个月发生肝脏转移,手术切除病变肝叶并辅助化疗后,预后良好;其余患者无发生转移和肿瘤细胞植入。结论在腹腔镜辅助直肠癌根治术的护理配合中严格实施无瘤技术,可有效降低癌细胞医源性扩散,提高患者术后的生活质量和生存率。

Objective To investigate the main points of nursing the patients undergoing laparoscopy-assisted radical resection of rectal cancer by tumor-free technique. Method The clinical data of 67 patients who underwent laparoscopy-assisted radical resection of rectal cancer by free-tumor technique between November 2008 and December 2009 were studied retrospectively and the main points of nursing cooperation was summarized. Results All the operations were performed successfully. The mean operation time and postoperative hospital stay were 2.0-4.5 hours,averaged（3.2 ± 0.4） hours,and 9-14 days,averaged（11.2 ± 1.8） days,respectively. All patients were followed up for 15-28 months,averaged（17.8 ± 2.6） months. 1 patient had liver metastasis after 19 months and eusemia after resection of the foci and assisted chemotherapy. The rest had no metastasis and cancer cell implantation. Conclusion The nursing cooperation during operation of tumor-free technique for laparoscopy-assisted radical resection of rectal cancer can effectively reduce the iatrogenic spread of cancer cells and improve the quality of life and survival rate of patients.