机器人微创心脏手术的护理管理

Nursing management in robotic minimally invasive cardiac surgeries

目的观察机器人微创心脏手术的临床应用，总结其护理管理方案。方法回顾分析431例使用“达芬奇S”全机器人手术系统完成微创心脏手术患者的术前准备、手术配合过程及术后机器的管理方法。结果经过完善的术前准备、术中配合和术后管理，成功完成了431例全机器人心脏手术，无术中中转开胸，术前准备时间和手术时间明显缩短。结论充分的术前准备、默契的手术配合及熟练的机器操作是机器人手术顺利进行的前提条件。

Objective To observe the clinical application of robotic （da Vinic S） minimally invasive cardiac surgeries and to summarize the method of the nursing management. Methods 431 patients accepted robotic minimally invasive cardiac surgeries from January 2007 to July 2011. The preoperative preparation, nursing cooperation during operation and postoperation management was retrospectively analyzed. Results With effective preoperative preparation, nursing cooperation during operation and postoperation management, all 431 cases of robotic cardiac surgeries were successful. No thoracotomy was carried out during operation. Duration of preparation and operation was significantly shorter than before. Conclusions Sufficient preoperative preparation, practiced nursing cooperation during operation and proficient machine manipulation are prerequisite to the implementation of robotic cardiac surgery.