后腹腔镜肾囊肿去顶减压术的护理

目的：探讨后腹腔镜治疗肾囊肿的护理方法及手术中的护理配合。方法：对58例肾囊肿经后腹腔镜手术治疗的患者，在围手术期。采用整体护理，给予全面系统的护理。结果：本组58例全部手术成功，无中转开放性手术，手术时间45-136分钟，平均65分钟。术中出血10—70d，平均40d。术后24-48小时拔除引流管，无合并出血，感染等并发症。全部患者50天出院，平均住院时间5．5天。结论：后腹腔镜肾囊肿去顶减压术治疗肾囊肿具有创伤小，出血少，患者效果良好等。实践说明肾囊肿去顶减压术的手术取得成功的重要因素之一是手术护士具备专业的护理技能和娴熟的手术配合。

Nursing study of retroperitoneal laparoscopic cyst decortication

Objective:To investigate the nursing method,feasibility and nursing matching feature in retroperitoneal laparoscopic cyst decortication.Methods:58 patients with renal cyst undergoing retroperitoneal laparoscopic cyst decortication were performed with overall nursing for whole systemic nursing in perioperative period.Results:All operations were successfully finished and none of them was referred for the open operation;the mean time of operation was 65 minutes ranging from 45 to 136 minutes;the mean hemorrhage in operation was 40 ml ranging from 10 to 70 ml;the drainage tube was uprooted after 24~48 hours of operaton.The complications such as hemorrhage,infection etc.were not found.The hospitalization time ranged from 5 to 7 days with an average of 5.5 days.Conclusion:Retroperitoneal laparoscopic cyst decortication for renal cyst has the following features,such as little trauma,few hemorrhage,good effect etc.The professional nursing skill and refined matching for operating nurse are the important factors.