经自然腔道取标本的腹腔镜左结肠癌根治术护理管理体会

Abstract

目的探讨经自然腔道取标本的腹腔镜左结肠癌根治术治疗及护理管理。方法回顾性分析2014年1月—2015年6月该院29例采用自制套管器经肛门取标本的腹腔镜左结肠癌根治术患者临床资料。结果所有患者均顺利完成手术,术中无中转开腹、大出血、预防性末端回肠造瘘和复发病例。随访4~20个月,除1例术后24 d、72 d分别出现2次肠梗阻,经过保守治疗和护理管理后好转。结论采用自制套管器经肛门取标本的腹腔镜左结肠癌根治术安全可行,术中良好的护理管理实施对手术顺利进行具有关键作用。

Objective To explore nursing and treatment management of radical laparoscopic left colon cancer operation extracted specimen by Natural Orifice. Methods Retrospectively analyzed clinical datas of 29 patients with left colon tumor treated by LA-NOSE from 2014.1 to 2015.6. Results All cases were successfully treated,There was no conversion to laparotomy, bleeding heavily, prophylactic terminal ileum stoma and recurrence. Only 1 patient suffered from intestinal obstruction in the 24 th and 72 th after the operation, which was relieved after conservative treatment and nursing management. Conclusion Radical laparoscopic left colon cancer operation extracted specimen by Natural Orifice is safe. A good nursing management method is a critical to the success of operations during operation.