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妇科达芬奇机器人系统辅助手术的围手术期管理

Perioperative management of Da Vinci robot system assisted surgery in gynecology

  • 摘要: 目的:总结我科采用达芬奇机器人手术系统辅助下妇科手术围手术期的管理经验。方法:回顾分析2013年1月至2017年6月复旦大学附属中山医院妇科利用达芬奇机器人手术系统为31例患者进行手术的围手术期护理临床资料,子宫肌瘤剥除术13例,广泛全子宫、双附件切除+盆腔淋巴结清扫术11例,卵巢癌根治术2例,卵巢囊肿剥除术2例,卵巢+输卵管切除术3例。结果:31例患者术后住院天数3~5 d,无术中中转开放,无感染、无严重出血等短期并发症发生,腹部穿刺口均甲级愈合。结论:达芬奇机器人手术系统作为新兴微创技术,体现出手术操作精细、并发症少、恢复快、创伤小的优点,应用于妇科手术安全可行;患者术后下床时间早,康复快,减少了护士的工作量,有助于提高护理质量。

     

    Abstract: Objective:To summarize the experience of perioperative management of Da Vinci robot system assisted surgery in our department. Methods:The clinical data of 31 women who underwent Da Vinci robot system assisted surgery in the Department of Gynecology, Zhongshan Hospital, Fudan University were retrospectively analyzed. Among all these patients, 13 underwent hysteromyoma decollement, 11 underwent enlarged total hysterectomy with pelvic lymph node dissection, 2 underwent tumor reductive surgery (total hysterectomy with omentum majus dissection, appendix dissection, and pelvic lymph node dissection), 2 underwent oophorocystectomy, and 3 underwent adnexectomy. Results:The hospital stay was 3-5 days in the 31 patients. No patient converted to open surgery during operation. No short term complications such as infection, severe bleeding were observed. Grade A healing of abdominal puncture was observed in all patients. Conclusions:As a novel minimally invasive technology, the Da Vinci robotic surgery system is safe and feasible to be applied in the gynecological surgery, which has the advantages of higher accuracy, reduced complications, accelerated recovery, and minimized wound. The usage of Da Vinci robotic surgery system could shorten the recovery time after the surgery, reduce the workload of nurses, and helps to improve the quality of nursing.

     

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