机器人辅助腹腔镜根治性膀胱切除正位新膀胱术的护理

目的分析应用daVinciS机器人系统完成机器人辅助腹腔镜根治性膀胱切除（RARC）正位新膀胱术的疗效，探讨其围手术期临床护理体会。方法2008年12月至2010年2月，4例男性患者接受RARC＋正位新膀胱术。手术均获成功。术前着重于心理护理、肠道准备，术后进行严密的生命体征监测、引流管护理、新膀胱锻炼等护理的同时，采取积极预防措施预防并发症的发生。结果全体患者术后恢复顺利，无严重并发症发生，疗效满意。结论机器人辅助腹腔镜根治性膀胱切除（RARC）加正位膀胱术创伤小，安全可靠，患者术后康复快，疤痕少，值得推广、应用，但须严格护理过程。

Nursing study for robotic-assisted laparoscopic radical cystectomy and orthotopic bladder

Objective To analyze the efficacy of using da Vinci S robot system to complete the robotassisted laparoscopic radical cystectomy (RARC) orthotopic neobladder and explore the peri-operative nursing care.Methods December 2008 February 2010,four cases of male patients RARC + orthotopic neobladder.Procedure was successful. Focusing on the psychological care before surgery, bowel preparation, and postoperative care focuses on the monitoring of vital signs,drainage tube care,exercise and the new bladder,while actively preventing complications.Results All patients recovered well,without serious complications and with satisfactory effect.Conclusions Robot-assisted laparoscopic radical cystectomy (RARC) + orthotopic bladder was less trauma, safer, reliable, rapid postoperative rehabilitation, scars less, and worthy of application,but subjected to strict nursing process.