机器人腹腔镜根治性膀胱切除原位回肠新膀胱术中手术室护理配合的意义

目的探讨达芬奇机器人辅助腹腔镜下膀胱根治性切除原位回肠新膀胱手术的护理配合流程，评估其临床意义。 方法回顾性分析2016年1月至2017年12月93例达芬奇机器人辅助腹腔镜膀胱根治性切除原位回肠新膀胱手术患者的临床资料，阐述机器人腹腔镜手术围手术期护理配合自身特点。根据开展手术的时间，分为早期组和后期组，比较两组机器人准备时间、手术时间、出血量、并发症发生率等指标。 结果93例手术均顺利完成，无中转开腹，护理配合满意。早期组与后期组机器人准备时间（50±10）min vs （30±5）min]和手术时间（305±25）min vs （255±20）min]差异具有统计学意义；出血量早期组略大于后期组（110±20）ml vs （95±15）ml]，差异有统计学意义；均未发生明显并发症。 结论娴熟的护理配合在机器人腹腔镜膀胱根治性切除术中具有较重要的意义，通过节省准备时间、优化机器布局、术中熟练配合等方面，最终使整个手术得以顺利、高效的开展。

Nursing cooperation of robot-assisted radical cystectomy and ileum neobladder

ObjectiveTo explore the nursing cooperation process of Da Vinci robot-assisted laparoscopic radical cystectomy and ileum neobladder and evaluate its clinical significance. MethodsThe clinical data of 93 cases of Da Vinci robot-assisted laparoscopic radical cystectomy and ileum neobladder surgery were analyzed retrospectively and expound the characteristics of perioperative nursing cooperation of robot laparoscopic surgery. According to the time of surgery, the patients were divided into early group and later group. The robot preparation time, operation time, blood loss, complication rate and other indicators were compared. ResultsAll 93 operative procedures were successfully performed without converting to open surgery and high satisfaction of nursing cooperation, The robotic preparation time (50±10) min vs (30±5) min] and operation time (305±25) min vs (255±20) min] in the early and later groups were significantly different. The blood loss in early group was slightly larger than the later group (110±20) ml vs (95±15) ml], the difference was significant; no significant complications occurred in both groups. ConclusionsSkilled nursing cooperation is of great significance in robot-assisted radical cystectomy. By saving preparation time, optimizing machine layout, and skilled cooperation during surgery, the surgery can be smoothly and efficiently performed.