To explore the postural management strategy of patients undergoing laparoscopic radical prostatectomy assisted by Da Vinci robot.

Clinical data of 213 patients admitted to Sun Yat-sen Memorial Hospital, Sun Yat-sen University from May 2017 to Dec. 2019 who received laparoscopic radical prostatectomy assisted by Da Vinci robot were retrospectively analyzed. In the early control group, 86 patients received routine postural nursing, while in the late intervention group, 127 patients received special postural management plans, including patient evaluation, postural placement method, postural adjustment during surgery, safety warning and nursing measures. The patients in the two groups were compared in terms of positioning time, operation time, incidence of robot second berth, doctor satisfaction, and observation indexes of nursing quality (stage Ⅰ pressure ulcer, deep vein thrombosis).

All 213 patients completed the operation successfully. In the late intervention group, positioning time and operation time were significantly reduced, the incidence of robotic arm collides with the body and the second berth was also significantly reduced, and the satisfaction of the operator was significantly increased. The difference was statistically significant in the above index. There was also different in the incidence of nursing adverse events between the two groups, but the difference was not statistically significant.

The scientific position management of Da Vinci robot-assisted laparoscopic radical surgery for prostate cancer can not only fully expose the surgical site, provide guarantee for smooth surgical operation, improve surgical efficiency, but also avoid intraoperative injury and reduce intraoperative and postoperative complications. It is worthy of clinical promotion.