OrvilTM系统在全腹腔镜全胃切除术中的应用及手术配合

A nursing care experience of using transoral Orvil EEA stapler during total laparoscopic gastrecto- my

目的探讨OrvilTM系统在全腹腔镜全胃切除术（1aparoscopic—assistedtotalgastrecto．my，TLG）中的应用及手术配合。方法对8例施行该手术的患者术中护理配合要点进行回顾性分析与总结。结果本组8例患者采用经口腔置入OrvilTM在TLG术中完成食管一空肠吻合，术中医护紧密配合，所有手术均顺利完成，无一例中转开腹。结论积极的术前准备，充分的医护沟通，熟练的OrvilTM置管技术，娴熟的腹腔镜配合技巧，是保证手术成功的必备条件。

Objective To summarize the nursing care and cooperation with sm＇geons using transoral Orvil EEA stapler during total laparoscopic gastrectomy （TLG）. Methods We present our initial experi- ence of nursing care and cooperation with surgeons for 8 patients undergoing TLG using a circular end-to- side anastomosis created with the transoral directed EEA circular stapler Orvil. Results The surgeries of all 8 patients were successfully completed under our good cooperation with surgeons using the technique of Orvil system. Conclusions Good preparations and knowing well the surgical procedures were the key points to achieve success using the transoral Orvil EEA stapler for patients undergoing TLG.