颈、胸、腹三切口结肠代食管手术的护理配合

Nursing Cooperation of Colon Replacing Esophagus Through Three Incisions of Neck, Chest and Abdomen

【目的】总结分析颈，胸，腹三切口结肠代食管手术护理配合过程与要点。【方法】对2000 2011年本院25例颈、胸、腹三切口结肠代食管手术的临床资料进行回顾性分析。【结果】2例发生喉返神经损伤，2例发生颈部吻合口漏，21例手术效果满意，患者生存率高。【结论】根据手术特点认真做好手术前准备工作，术中熟练配合手术，做好护理措施，密切观察患者生命体征及一般情况，确保手术患者安全，避免各种并发症和意外的发生。

[Objective]To summarize and analyze the cooperation process of the surgery of colon replacing esophagus through three incisions of neck, chest and abdomen. [Methods]Clinical data of 25 cases of colon replacing esophagus through three incisions of neck, chest and abdomen in our hospital from 2000~2011 were analyzed retrospectively. [Re- sults] Recurrent laryngeal nerve damage occurred in 2 cases. Cervical stomal leak occurred in 2 cases. The surgical effica- cy of 21 cases was satisfactory. The survival rate of patients was high. [Conclusion] According to surgery features, care- ful preparation before operation, skillful cooperation during operation, nursing intervention and close observation of pa- tients＇ signs and general status coordination can ensure the patients＂ safety, complete the operation smoothly and avoid the incidence of complications and accidents.