改良70°侧卧位用于达芬奇机器人辅助下肾部分切除手术的效果
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女,本科,副主任护师,护士长

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Effect of modified 70° lateral position in Da Vinci robotic-assisted partial nephrectomy
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    摘要:

    目的 探讨改良70°侧卧位在达芬奇机器人辅助下肾部分切除手术中的应用效果。方法 将216例达芬奇机器人辅助下肾部分切除手术患者按照手术时间分为传统组100例和改良组116例。在手术过程中,传统组患者背部纵轴平面与手术床纵轴平面呈90°角,改良组患者背部纵轴平面与手术床纵轴平面呈70°角。结果 改良组体位安置时间、手术时间及肾动脉阻断时间显著短于传统组,患者舒适度和医生满意度显著优于传统组,且术中机械臂碰撞躯干例数显著少于传统组(均P<0.05);两组患者术中出血量及机器人二次泊位发生率差异无统计学意义(均P>0.05)。结论 改良70°侧卧位用于达芬奇机器人辅助下肾部分切除手术可便捷手术操作,提高患者安全和舒适性,有利于护理质量提升。

    Abstract:

    Objective To explorethe application effect of modified 70° lateral position in Da Vinci robotic-assisted partial nephrectomy. Methods A total of 216 patients undergoing Da Vinci robotic-assisted partial nephrectomy were divided into a conventional group (n=100) and a modified group (n=116) chronologically. During the operation, the longitudinal plane of the back of the conventional group showed 90° to the plane of the operating bed, which showed 70° in the modified group. Results In the modified group, the position placement time, operation time and renal artery blocking time were significantly shorter than those in the conventional group, the patients comfort and physicians satisfaction were significantly better, and the number of robotic arm collides with the torso was significantly less than that of the conventional group (all P<0.05); while there weren′t significant differences in intraoperative blood loss and the incidence of robotic secondary berth between the two groups (both P>0.05). Conclusion Application of the modified 70° lateral position in the Da Vinci robotic-assisted partial nephrectomy can facilitate surgical operation, improve patient safety and comfort, and it is conducive to improving nursing quality.

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侯晓敏,彭焕椽,朱丽瑜,殷彬燕.改良70°侧卧位用于达芬奇机器人辅助下肾部分切除手术的效果[J].护理学杂志,2023,38(8):44-46

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  • 收稿日期:2022-11-20
  • 最后修改日期:2023-01-12
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  • 在线发布日期: 2023-12-29