中国临床医学Issue(3):366-368,3.
达芬奇机器人胰十二指肠手术患者围手术期的管理
Perioperative Management of Pancreaticoduodenectomy by Using Da Vinci Robotic Surgical System
摘要
Abstract
Objective:To discuss the key points of perioperative management in pancreaticoduodenectomy by using Da Vinci ro-botic surgical system .Methods :The perioperative management of 46 patients who received pancreaticoduodenectomy by using Da Vinci robotic surgical system at Ruijin Hospital ,Shanghai Jiaotong University School of Medicine were retrospectively sum-marized and analyzed .The perioperative management included selection of appropriate patients ,preoperative psychological care , preoperative preparation ,right body-position and right intraabdominal pressure ,postoperative monitoring of vital signs ,and prevention and nursing of the complications .Results:The mean postoperative hospital-stay of these patients were 23 .8 days , with no death .Complications were found in 13 patients ,including 10 pancreatic fistula ,2 biliary fistula and 1 hemorrhage .All of them recovered after receiving relevant treatments and nursing .Conclusions :To promote the postoperative recovery and reduce the occurence rate of the postoperative complications and mortality ,the perioperative management is as important as mastering advanced surgical techniques .关键词
达芬奇机器人/胰十二指肠手术/围手术期/管理Key words
Da Vinci robot/Pancreaticoduodenectomy/Perioperative period/Management分类
医药卫生引用本文复制引用
韦琳,刘诗光..达芬奇机器人胰十二指肠手术患者围手术期的管理[J].中国临床医学,2014,(3):366-368,3.基金项目
上海市级医院新兴前沿技术项目 ()