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机器人单孔经膀胱入路前列腺癌根治术的护理配合
作者姓名:关龙辉  喻娟  张成
作者单位:南昌大学第一附属医院手术室 江西 南昌 330096,南昌大学第一附属医院骨科 江西 南昌 330096,南昌大学第一附属医院泌尿外科 江西 南昌 330096
摘    要:目的:总结机器人辅助单孔经膀胱入路前列腺癌根治术的手术护理配合经验。方法:选择7例行机器人辅助单孔经膀胱前列腺癌根治术的患者,对术前准备、术中配合和术后整理经验进行总结。结果:7例患者的手术均在全机器人辅助腹腔镜下完成,无中转开放,平均手术时间为2.5h,术中平均出血量为50ml,平均住院天数为5d。术后未放置腹腔引流管,无护理相关并发症,所有患者拔管后尿控良好。医护人员做到有效沟通、团队协作,将优质护理贯穿于整个围术期;洗手护士、巡回护士分工合作,保障了手术患者的安全。结论:对行机器人辅助单孔经膀胱入路前列腺癌根治术的患者进行的手术期护理可以提高手术效率,降低手术风险,缩短患者住院时间,值得进一步推广。

关 键 词:单孔机器人  经膀胱入路  前列腺癌根治术  护理配合

Nursing cooperation on single-port transvesical robotic radical prostatectomy
Authors:GUAN Longhui  YU Juan  ZHANG Cheng
Institution:(Operating room of the First Affiliated Hospital of Nanchang University,Nanchang 330096,China;Department of Orthopedics,the First Affiliated Hospital of Nanchang University,Nanchang 330096,China;Department of Urology,the First Affiliated Hospital of Nanchang University,Nanchang 330096,China)
Abstract:Objective:To summarize the nursing cooperation experience of single-port transvesical robotic radical prostatectomy.Methods:7 cases of single-port transvesical robotic radical resection of prostate cancer were selected,the nursing cooperation experience on preoperative preparation,intraoperative coordination and postoperative nursing process and management were summarized.Results:All the surgeries were completed successfully with no conversion to open surgery.The average operation time was 2.5h,with an average blood loss of 50ml.No nursing-related complications were found.All patients had good urinary control after extubating.The average hospital stay was 5d.Conclusion:Comprehensive perioperative can increase efficiency and lower surgical risks in single-port transvesical robotic radical prostatectomy,which is worthy of further promotion.
Keywords:Single-port robot  Bladder approach  Prostate cancer  Surgical cooperation
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