达芬奇机器人手术与传统腔镜手术护理配合的比较与启示

Comparison of the operative cooperation of da Vinci robotic surgery and traditional laparoscopic surgery

目的：通过达芬奇机器人手术与传统腔镜手术护理配合的比较研究，为微创手术护理配合的规范化、专业化发展提供借鉴。方法结合实际操作体会，采取比较研究方法为主，辅以文献研究法。结果与传统腔镜手术相比，达芬奇机器人手术在护士业务素质要求与培训方式、伦理法律知识与人文素养要求、设备的安装调试与前期准备工作、相应的护理内容与侧重、设备故障处理与器械术后管理等方面对手术室护理工作提出了更高的要求。结论达芬奇机器人手术的应用与推广，为精确微创手术配合的改进与发展提供了有益的启示，建议加强护士专项培训与继续教育；建立相应操作流程与管理规范；做好患者的告知解释工作以及发挥手术团队的协作精神。

Objective To compare the operative cooperation of da Vinci robotic surgery and traditional laparoscopic surgery, so as to provide evidence to qualify the operative cooperation of minimally invasive operation. Methods Comparison of the operative cooperation with related experiences and literature was made between the two kinds of surgeries. Results More requirements were put forward during the da Vinci robotic surgery on nurses′ service quality and training methods, ethics & law knowledge and humanistic care, equipment installation and preparation, complicated nursing performance content, system error handling and postoperative management, etc.. Conclusions It is suggested that the operative cooperation of the precise minimally invasive operation should be improved as follows:strengthen the nurses′ special training and continuing education; establish related operation process and management standards;do patients′explanation work and surgical team cooperation.