CAJ | 학술논문

目的：探讨3D(3-dimension)腹腔镜辅助下直肠癌根治术的手术配合及护理.方法回顾性分析2014年1－6月在解放军总医院实施3D腹腔镜辅助下直肠癌根治术患者10例的临床资料,总结其手术配合要点及护理经验.结果10例患者手术过程均顺利,无中转开腹,手术时间1．5~3 h,手术顺利,术中出血10~20 ml,术后安返病房.所有患者术后无并发症发生,随访3个月,未发现转移与复发.结论术前充足的准备、精密仪器的安全操作及细心维护、正确选择仪器安装位置、娴熟的技能、积极主动地配合是取得手术成功的重要条件.
목적：탐토3D(3-dimension)복강경보조하직장암근치술적수술배합급호리.방법회고성분석2014년1－6월재해방군총의원실시3D복강경보조하직장암근치술환자10례적림상자료,총결기수술배합요점급호리경험.결과10례환자수술과정균순리,무중전개복,수술시간1．5~3 h,수술순리,술중출혈10~20 ml,술후안반병방.소유환자술후무병발증발생,수방3개월,미발현전이여복발.결론술전충족적준비、정밀의기적안전조작급세심유호、정학선택의기안장위치、한숙적기능、적겁주동지배합시취득수술성공적중요조건.
Objective To investigate the experience of operative cooperation and nursing measures in 3D-laparoscopic assisted colorectal cancer radical correction.Methods The clinical data of 10 cases of 3D-lapa-roscopic assisted colorectal cancer radical correction surgery were analyzed retrospectively,and conclude the operative cooperation key points and nursing experiences.Results All 10 cases of patients with opera-tion were successfully,without conversion to laparotomy.The operative time was 1 .5 to 3 h.The blood loss during operation was 10 to 20 ml.After operation,they return to the ward safely.No complication occurred. There was no recurrence during the follow up period of 3 months.Conclusion Adequate preparation,safe operation of precision instruments and the careful maintenance,the correct choice of instrument installation position,skills,active cooperation are the important conditions for successful operation.