原发性肝癌腹腔镜切除术的护理配合

Nursing cooperation of patients with primary liver cancer undergoing laparoscopic hepatectomy

[目的]探讨腹腔镜下肝癌切除手术的护理配合要点。[方法]总结34例腹腔镜下肝癌切除手术病人的配合要点,包括术前访视,对病人进行心理护理、熟悉病情和了解肿瘤生长情况,完善手术器械、物品准备;术中巡回护士摆放体位、建立静脉通路、合理使用多种手术仪器;器械护士熟悉手术进程,严格执行无菌无瘤技术操作。[结果]34例手术病人手术时间40min^130min,平均65min;术中失血50mL^1 800mL,平均200mL。手术过程顺利,术后愈合良好。[结论]腹腔镜下肝癌切除手术极易出血,故手术过程紧张,良好的护理配合是手术顺利进行的重要保证。

Objective:To probe into the main nursing coordination point of laparoscopic liver resection.Methods:To summarize the intraoperative coordination point of 34 patients with primary liver cancer undergoing laparo-scopic hepatectomy,including preoperative visit,the psychological care for patients,familiar with the disease and tumor growth,improving surgical instruments and material preparation;traveling nurses placing position,estab-lishing the intravenous access,rational use of a variety of surgical instruments;equipment nurses familiar with operation process,strictly carrying out the sterile tumor free technical operations.Results:34 cases of patients undergoing surgery time for 40 min~ 130 min,an average of 65 min;intraoperative blood loss 50 mL~ 1 800 mL,an average of 200 mL.Surgery went smoothly and postoperative healing was well.Conclusion:Laparoscopic liver resection is easily bleeding,so the procedure is nervous.The good nursing coordination is an important fac-tor in the smooth operation.