CAJ | 학술논문

目的：探讨全腹腔镜下脾切除加贲门周围血管离断术（LSPD）治疗门脉高压的临床应用及护理配合规范。方法：回顾2010年1月-2013年2月间20例全腹腔镜脾切除加贲门周围血管离断术的临床资料，分析术中出血量、手术时间和术后并发症发生率。结果：在规范，准确的医护配合操作下，20例均在全腔镜下完成，手术时间180~430min，平均(265±42)min。术中失血150~1050ml，平均(450±240)m1。术后发生胸腔积液3例，门静脉血栓l例；低-中度发热2例，无术中及围手术期死亡。术后住院8~14d，平均(8.5±4.0)d。结论：熟练规范的操作使得LSPD更加安全、可行，良好的护理配合可提高手术效率，缩短手术时间。
목적：탐토전복강경하비절제가분문주위혈관리단술（LSPD）치료문맥고압적림상응용급호리배합규범。방법：회고2010년1월-2013년2월간20례전복강경비절제가분문주위혈관리단술적림상자료，분석술중출혈량、수술시간화술후병발증발생솔。결과：재규범，준학적의호배합조작하，20례균재전강경하완성，수술시간180~430min，평균(265±42)min。술중실혈150~1050ml，평균(450±240)m1。술후발생흉강적액3례，문정맥혈전l례；저-중도발열2례，무술중급위수술기사망。술후주원8~14d，평균(8.5±4.0)d。결론：숙련규범적조작사득LSPD경가안전、가행，량호적호리배합가제고수술효솔，축단수술시간。
objective To Explore Clinical effects of the ful laparoscopic splenectomy and pericardial devascularization(LSPD) with Standardized nurse cooperation for portal hypertension. Methods: Retrospective analysis ofclinical databetweenJanuary 20102013February20 cases of laparoscopic splenectomy pericardial Devascularization, analyze blood loss, operative time and postoperative complication rate. Results: With Standardized nurse cooperation, 20 cases were completed in ful endoscopic, surgical time 180~ 430min, average (265 ± 42) min. Intraoperative blood loss 150 ~ 1050 ml, average (450 ± 240) m1. 3 cases of postoperative pleural effusion, l case of portal vein thrombosis ; 2 cases of low - moderate fever , no intraoperative and perioperative mortality. Postoperative hospital stay was 8 ~ 14d, the average (8.5 ±4.0) d. Conclusions: The LSPD is a safe, minimal y invasive surgical approach for portal hypertension, with standardized nurse cooperation can improve surgical efficiency and shorten the operation time.