机器人辅助腹腔镜保留肾单位肾部分切除术的围手术期护理

目的 探讨机器人辅助腹腔镜保留肾单位肾部分切除术的围手术期护理措施和效果.方法 对6例行达芬奇机器人（Da Vinci S手术机器人系统）辅助腹腔镜保留肾单位肾部分切除术的患者进行术前心理护理和术前准备,术后心理护理、生命体征监测、引流管护理、并发症的监测、活动训练、饮食护理等围手术期护理.结果 6例手术患者中,1例改开放性保留肾单位肾部分切除术,其余5例手术均成功.全体患者术后恢复顺利,无并发症发生.结论 围手术期系统护理可保证机器人辅助腹腔镜下保留肾单位肾部分切除术的顺利进行,加快患者康复,效果满意.

Perioperative nursing on robot-assistant laparoscopic nephron-sparing surgery

Objective To analyze and discuss the systemic nursing strategy and effectiveness for robotassistant laparoscopic nephron-sparing surgery. Methods A total of 6 patients had undergone robot-assistant laparoscopic nephron-sparing partial nephrectomy. All the patients were given systemic perioperative nursing which was described as the following: peroperative psychological nursing and preoperative preparation; the postoperative monitoring of patients' vital sign, drainage tube; the postoperative nursing of psychophysiology,food and drink and rehabilitation training; prophylactic nursing of postoperative complications. Results All procedures were successfully completed with one case open conversion. All the patients had successful postoperative recovery without postoperative complications. Conclusions The postoperative systemic nursing strategy was feasible and safe for robot-assistant laparoscopic nephron-sparing surgery.