标准化器械传递在腹腔镜结直肠癌手术中的应用效果

Effect analysis of standardized instrument delivery in laparoscopic colorectal cancer surgery

目的:探讨标准化器械传递在腹腔镜结直肠癌手术中的应用效果。方法:将2020年8月—2021年8月收治的81例腹腔镜结直肠癌手术患者按照随机数字表法分为对照组和观察组。对照组40例给予常规干预,观察组41例在对照组的基础上联合标准化器械传递。对比两组临床相关指标(手术时间、术中出血量、首次肛门排气时间、住院时间)、器械使用情况(传递器械次数、清洗器械次数、整理手术台次数)以及不良事件(器械传递错误、器械滑落、器械丢失再寻找)发生情况。结果:观察组手术时间、首次肛门排气时间以及住院时间均短于对照组,观察组术中出血量少于对照组(P<0.05);术中,观察组传递器械次数、清洗器械次数以及整理手术台次数均少于对照组(P<0.05);观察组器械传递错误次数、器械滑落次数以及器械丢失再寻找次数均少于对照组(P<0.05)。结论:将标准化器械传递应用于腹腔镜结直肠癌手术中,可减少传递器械、清洗器械、整理手术台次数,提高手术效率,促进术后恢复,且不良事件发生率更低。

Objective: To investigate the application effect of standardized instrument delivery in laparoscopic colorectal cancer surgery.Methods: All 81 patients with laparoscopic colorectal cancer surgery who were treated in our hospital from August 2020 to August 2021 were divided into two groups according to the random number table method, 40 cases in the control group were given routine intervention, and 41 cases in the observation group were in the control group.On the basis of combined standardized device delivery, the clinical related indicators(operation time, intraoperative blood loss, first anal exhaust time, hospital stay),device usage(number of times to pass instruments, times to clean instruments, times to arrange operating table) and adverse events(incorrect instrument delivery, instrument slipping, instrument lost and then searched)were observed in the two groups.Results: The operation time, first anal exhaust time and hospital stay in the observation group were shorter than those in the control group, and the intraoperative blood loss in the observation group was less than that in the control group(P<0.05).The number of times of finishing the operating table was less than that of the control group(P<0.05),the number of device delivery errors, the number of device slippage, and the number of lost and re-searched devices in the observation group were all less than those in the control group(P<0.05).Conclusion: The use of standardized instrument delivery in laparoscopic colorectal cancer surgery can reduce the number of times of delivering instruments, cleaning instruments, and tidying up the operating table, improving surgical efficiency, promoting postoperative recovery, and lowering the incidence of adverse events.