【摘要】 目的进一步探讨达芬奇机器人辅助腹腔镜根治性直肠癌切除术的治疗以及护理方法。方法将2016年1月至2016年6月完成的19例达芬奇机器人辅助腹腔镜直肠癌根治术与同期完成的33例传统开放根治性直肠癌切除术进行对照观察,比较两组患者的手术时间、术中出血量、首次排气时间、首次排便时间、拔除引流管时间、首次下地活动时间和术后住院时间等参数。结果机器人组在术中出血量、首次排气时间、首次排便时间、拔除引流管时间和术后住院时间等方面均显著优于传统腹腔镜手术组(P<0.05)。结论达芬奇机器人辅助腹腔镜直肠癌切除术具有出血量少、恢复快、创伤小的显著优势,极大地减轻了患者的痛苦,同时降低了护理难度及成本,提高了医疗与护理工作的效率,是值得推广的微创手术方法。更多还原

【Abstract】 Objective To explore the treatment and nursing methods with radical rectal carcinoma using da Vinci S robotic-assisted laparoscopy. Methods Nineteen cases of robotic assisted laparoscopic radical resection of rectal cancer completed from January2016 to June 2016 were compared with 33 cases of traditional open radical resection of rectal cancer. The operation time of the two groups,intraoperative blood loss,the first exhaust time,the first defecation time,removal of drainage tube time,the first time to live time and postoperative hospital stay and other parameters. Results The results showed that the volume of bleeding,the first exhaust time,the first defecation time,the time of drainage and the time of hospitalization were significantly better than those of the conventional laparoscopic surgery group( P<0. 05). Conclusion The robot assisted laparoscopic resection of rectal cancer with less bleeding,quick recovery,a small advantage of small trauma,greatly reducing the pain of patients,while reducing the difficulty of nursing and cost,improve the efficiency of medical and nursing work,and worth promoting the minimally invasive surgical approach.更多还原