腹部无辅助切口经阴道拖出标本的腹腔镜下高位直肠癌根治术的手术配合

Surgical cooperation in laparoscopic radical resection of high rectal cancer with transvaginal specimen extraction and without abdominal incision

目的探讨腹部无辅助切口经阴道拖出标本的腹腔镜下高位直肠癌根治术的手术配合要点，为完善该术式及同类型术式的配合提供宝贵的经验与参考依据。方法对16例行该术式的患者的临床资料及手术配合进行回顾性分析，总结手术护理要点。结果16例患者对全身麻醉处理与二氧化碳气腹均可耐受，手术过程顺利，无中转开腹及不良反应发生。所有患者均治愈出院且身体恢复状况良好。结论护理人员术前充分准备，熟知手术过程，熟练掌握腹腔镜器械和特殊仪器的使用，严格执行无菌、无瘤技术操作，均是保证手术成功的关键。

Objective To discuss key points of surgical cooperation in laparoscopic radical resection of high rectal cancer with transvaginal specimen extraction and without abdominal incision, so as to provide valuable experience and reference to better cooperation in this surgical method and other similar surgicalmethods. Methods Clinical data and surgical cooperation of 16 patients undergoing this surgical method were analyzed retrospectively, with key points of the operation nursing summarized. Results All the 16 patients tolerated general anesthesia and carbon dioxide pnenmoperitoneum, which made smooth surgeries without conversion to laparotomy and adverse reactions. All the patients were cured and left the hospital with fine condition of recovery. Condusions Full preoperative preparation of nurses, familiarity of surgical process, good command of laparoscope instruments, usage of special instruments, and rigorous non-bacteria and non-tumor technique operation, are all keys to a successful operation.