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达芬奇机器人胰十二指肠手术患者围手术期的管理

韦琳 刘诗光

中国临床医学Issue(3):366-368,3.
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

韦琳 1刘诗光1

作者信息

  • 1. 上海交通大学医学院附属瑞金医院肝胆胰外科及肝移植中心,上海 200025
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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 ()

中国临床医学

OACSTPCD

1008-6358

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