摘要
目的探讨腹腔镜治疗早期胃癌,在保证根治度的基础上保留幽门及迷走神经手术配合要点。方法方便选取大连医科大学附属一院2013年4月—2015年4月期间52例早期胃癌采用腹腔镜保留幽门及迷走神经胃切除(LAPPG)治疗的手术配合经验。结果 52例患者均完成LAPPG手术,术中无中转开腹,手术时间为(255±50)min(130~330)min,术中出血量为(23±13)m L(10~50 m L)。结论手术室专科护士术前充分的准备工作,术中全面掌握开放手术步骤及配合技巧的基础上,同时掌握微创手术配合技巧,尤其注重术中各环节细节的配合,是确保腹腔镜保留幽门及迷走神经胃切除手术顺利进行的重要组成部分。
Objective To approach the main points of the nursing cooperation in laparoscopic pylorus-vagus-preserving gastrectomy for early gastric cancer laparoscopic on the basis of keeping guarantee degree of radical cure. Methods Convenient selection from April 2013 to April 2015, 52 patients with early gastric cancer undergone laparoscopic pylorus-vagus-preserving gastrectomy(LAPPG) in First Affiliated Hospital of Dalian Medical University were followed-up in term of nursing cooperation. Results 52 patients completed the LAPPG operation, with no conversion to open surgery. The operation time to(255 ± 50) min(130 ~ 330)min, intraoperative bleeding(23±13) m L(10 ~ 50)m L. Conclusion: Sufficient preoperative.
出处
《中外医疗》
2016年第17期46-50,共5页
China & Foreign Medical Treatment
关键词
早期胃癌
腹腔镜
手术配合
迷走神经
幽门
Early gastric cancer
Laparoscope
Nursing cooperation
Vagus nerve
Pylorus