CAJ | 학술논문

目的总结我院腹腔镜下胃癌根治术的手术配合体会。方法收集我院2009年7月~2013年6月以来，共行腹腔镜下胃癌根治术258例病例资料，分析、总结手术配合经验。结果除2例因自身疾病原因中转开腹外，其余患者均在腹腔镜下顺利完成手术。结论在腹腔镜下行胃癌根治手术，手术难度大，腹腔镜器械设备多，操作步骤多而精细，手术时间长，我院通过对手术室护士进行专业技能和操作流程培训，对腹腔镜器械设备的安装、折卸、清洗、灭菌、保养等进行规范操作，器械进行专人管理，并以娴熟的操作技术配合医生手术，减少了手术时间，保证手术顺利进行，同时严密监护患者生命体征，确保患者生命安全。
목적총결아원복강경하위암근치술적수술배합체회。방법수집아원2009년7월~2013년6월이래，공행복강경하위암근치술258례병례자료，분석、총결수술배합경험。결과제2례인자신질병원인중전개복외，기여환자균재복강경하순리완성수술。결론재복강경하행위암근치수술，수술난도대，복강경기계설비다，조작보취다이정세，수술시간장，아원통과대수술실호사진행전업기능화조작류정배훈，대복강경기계설비적안장、절사、청세、멸균、보양등진행규범조작，기계진행전인관리，병이한숙적조작기술배합의생수술，감소료수술시간，보증수술순리진행，동시엄밀감호환자생명체정，학보환자생명안전。
Objective To summarize the experience of operative nursing care during laparoscopic radical gastrectomy. Methods From July 2009 to June 2013, 258 patients underwent laparoscopic radical gastrectomy, and the operative nursing care data were col ected and analysed. Results Al the patients were underwent operation succe except 2 patients conversed to laparotomy during operation. Conclusion Laparoscopic radical gastrectomy is a complex operation, which has more equipments, more operation steps, long operative time. The operative nurse in our hospital were wel trained about professional skil s and operative pathways, that they were wel known about the instal ation, unfold, washing, and maintenance for laparoscopic equipments. After al , the operative nurse can cooperate wel with surgeon, making the operation fluent, that making the patients recovery from illness as soon as possible.