机器人辅助后腹腔镜肾部分切除术的手术配合

目的探讨机器人辅助后腹腔镜肾部分切除术的护理配合流程。 方法对解放军总医院泌尿外科2014年12月至2015年12月的117例机器人辅助后腹腔镜肾部分切除术的护理配合进行分析，通过术前访视评估、器械及物品的充分准备、合理的手术间布局、术中精准化配合及术后护理及访视，使患者顺利度过围手术期。 结果117例患者顺利完成，医护配合效果满意，短期随访无术后并发症发生。 结论充分的术前准备，合理的手术间布局，熟练的术中配合能提高术者手术效率，手术顺利完成的重要环节。

Operative coordination of robot assisted retroperitoneal laparoscopic partial nephrectomy

ObjectiveTo investigate the nursing coordination for robot assisted retroperitoneal laparoscopic partial nephrectomy. MethodsThe nursing coordination for 117 cases of robot assisted retroperitoneal laparoscopic partial nephrectomy which were received and cured in the department of urology, chinese PLA general hospital from Dec. 2014 to Dec. 2015, was analysised. By means of preoperative interview and evaluate, adequate preparing of instruments and articles, reasonable layout of the operating room, standardized coordination during operation, postoperative nursing and interview, the patients pass through perioperative period successfully. ResultsNursing coordination was successfully completed to the 117 cases, and the effect of medical coordination is satisfactory. No postoperative complication occurred by short term follow up. ConclusionsAdequate preoperative preparation, reasonable layout of the operating room, skilled coordination during operation could improve the operating efficiency, which is the important link of successful operations.