Abstract：Objective:To explore the nursing coordination during the process of robot-assisted inferior vena cava tumor emboli removal surgery. Methods:Analyzed and summarized 8 cases of the robot-assisted inferior vena cava tumor emboli removal surgeries about the preoperative special preparation, the position of mechanical arm system, the evaluation of surgery patients, the intraoperative intake and drain management and the surgical precision coordination. Results:8 cases were completely and successfully performed surgeries, with satisfactory doctor-nurse cooperation. There were no postoperative complications during our short-term follow-up. Conclusions:The complete preoperative special preparation, skilled operation steps, accurately and rapidly equipment transfer, shorten the operation time are key points to ensure the success of the surgery.
[1]李丽霞,赵悦,宋烽.全机器人系统手术的护理管理.中华护理杂志,2008,43(4): 360-361. [2]Desai MM, Gill IS, Ramani AP, et al. Laparoscopic radical nephrectomy for cancer with level I renal vein involvement. J Urol. 2003.169(2):487-91. [3]Henderson A, Murphy D, Jaganathan K, et al. Hand-assisted laparoscopic nephrectomy for renal cell cancer with renal vein tumor thrombus.Urology. 2008.72(2):268-72. [4]Steinnerd LE, Vardi IY, Bhayani SB. Laparoscopic radical nephrectomy for renal carcinoma with known level I renal vein tumor thrombus.Urology. 2007. 69(4):662-5. [5]Disanto V, Pansadoro V, Portoghese F, et al. Retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma with infrahepatic vena caval thrombus. Eur Urol. 2005.47(3):352-356. [6]高江平,崔亮. 机器人辅助腹腔镜前列腺癌根治术. 临床外科杂志,2008,16(2):100-102. [7]Liang B, Huang ZQ, Huang XQ, et al. Perioperative haemodynamic changes of the femoral vein in patients undergoing laparoscopic cholecystectomy . China Minimally Invasive Surg, 2005, 5(11): 889-891.
