手辅助胸腔镜下双肺转移瘤同期手术的护理配合

目的探讨手辅助胸腔镜下双肺转移瘤同期手术的护理配合要点。方法总结72例手辅助胸腔镜下双肺转移瘤同期手术的术前准备、术中配合、术后器械及设备的清洗保养。结果手术过程顺利，无中转开胸及手术死亡病例。结论实行手辅助胸腔镜手术，对手术室护理质量及腔镜手术器械的清洗保养是一个重大的考验，熟练的手术配合和规范的操作流程可提高手术配合护理质量，是手辅助胸腔镜下双肺转移瘤同期手术顺利进行的主要原因。

Nursing cooperation of hand-assisted thoracoscopic surgery for simultaneous operation of bilateral lung metastasectomy

Objective To explore the points of nursing cooperation during hand-assisted thoraco- seopic surgery for simultaneous operation of bilateral lung metastasectomy. Methods The preoperative preparation, nursing cooperation during the surgery, the cleaning and maintenance of surgical instruments and equipment after operation were retrospectively summarized in 72 patients who underwent hand-assisted thoraco- scopic surgery for simultaneous treatment of bilateral pulmonary metastases. Results All the procedures of surgery were smooth. No patients were converted to thoracotomy or died of surgery. Conclusions It is an im- portant challenge for nursing quality in the operation room and the cleaning and maintenance of surgical in- struments and equipment in carrying out hand-assisted thoracoseopic surgery. The skilled nursing coopera- tion and standardized operating procedures could improve the quality of intraoperative nursing cooperation. It could ensure the smooth process of simultaneous operation of bilateral lung metastasectomy.