全胸腔镜支气管成形术手术配合

摘要

目的：探讨全胸腔镜支气管成形术的手术配合方法。方法：回顾性分析2008年7月~2013年11月我院9例患者施行全胸腔镜下支气管成形术的手术及护理配合过程。结果：9例患者手术在医护的共同努力及配合下均顺利完成,未发生术中严重并发症、中转开胸情况。手术时间平均(2.53±1.92)h,出血量平均(110±80)ml,术后平均住院(11.31±1.42)d。结论：胸腔镜支气管成形术要求更高的胸外科技术及腔镜操作技术,手术护理配合也愈显重要,掌握全胸腔镜支气管成形术的步骤、方法及配合,是保证护理质量、手术顺利完成的关键。%Objective:To explore the methods and experience of thoracoscopic bronchial plasty. . Methods:We reviewed 9 cases of non -small cell lung cancer (NSCLC) that has accepted thoracoscopic bronchial plasty from July 2008 to November 2013,to explore the experience of this procedure. Results:All the operations were successful in close cooperation with surgeons. There was no severe complication and conversion. The average operation time and blood loss were (2.53 ±1.92) hours and (110 ±80)ml,and the mean hospital stay was (11.31 ±1.42)days. Conclusion:Completely video-assisted thoraco-scopic sleeve lobectomy demands higher thoracic surgery and laparoscopic operation technology. Nursing care becomes more and more important. Grasping the procedure and cooperation,is the key to guarantee the quality of nursing,operation completed successfully.