Nursing cooperation of robotic assisted laparoscopic partial nephrectomy via transperitoneal approach and retroperitoneal approach

doi:10.3877/cma.j.issn.1674-3253.2020.06.007

Abstract

Abstract:

Objective

To summarize the nursing cooperation of robot assisted laparoscopic partial nephrectomy via transperitoneal and retroperitoneal approach.

Methods

The clinical data of 86 cases of robot assisted laparoscopic partial nephrectomy with transperitoneal approach and 128 caseswith retroperitoneal approach were analyzed retrospectively from Jan 2016 to Jan 2020. The time of position placement, nursing potential risk events, preparation time before installation, and doctor satisfaction were recorded in two approaches.

Results

The operations were completed successfully in both groups, and no patient was transferred to open surgery. There were no statistically significant differences between the two groups in position placement time, incidence of nursing potential risk events, duration of renal hot ischemia, and doctor satisfaction (P>0.05). However, the differences in preparation time before installation and operation time were statistically significant (P<0.05) in two groups.

Conclusion

Robot-assisted laparoscopic partial nephrectomy via transperitoneal and retroperitoneal approach have their own characteristics and concerns. Preoperative evaluation and understanding of the surgical plan should be carried out. According to the surgical plan, positioning equipment, safety monitoring, complete intraoperative equipment, skilled coordination, and shortening the duration of renal artery occlusion can ensure the surgical effect.

Key words: Operation approach, Robot, Dock the robot, Laparoscopy, Partial Nephrectomy, Nursing cooperation, Distribution of operation room, Position, Aseptic parclose, Safty monitoring

Min Luo, Huan Luo, Chunming Cai, Yihong Qiu. Nursing cooperation of robotic assisted laparoscopic partial nephrectomy via transperitoneal approach and retroperitoneal approach[J]. Chinese Journal of Endourology(Electronic Edition), 2020, 14(06): 430-433.

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References 11

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组别	例数	体位安置用时[min，（±s）]	护理潜在风险事件（例）	装机前准备时间[min，（±s）]	手术时间[min，（±s）]	热缺血时间[min，（±s）]	术者满意度[例（%）]
经腹膜后入路	128	8.5±1.7	6	53.2±11.2	89.5±22.8	18.3±6.7	123（97.6）
经腹入路	86	8.3±1.6	5	60.8±13.5	120.2±29.7	19.8±7.4	082（95.3）
统计值		t=0.964	χ²=0.003	t=4.478	t=8.538	t=1.539	χ²=0.007
P值		0.389	0.960	<0.001	<0.001	0.125	0.935

组别	例数	体位安置用时[min，（±s）]	护理潜在风险事件（例）	装机前准备时间[min，（±s）]	手术时间[min，（±s）]	热缺血时间[min，（±s）]	术者满意度[例（%）]
经腹膜后入路	128	8.5±1.7	6	53.2±11.2	89.5±22.8	18.3±6.7	123（97.6）
经腹入路	86	8.3±1.6	5	60.8±13.5	120.2±29.7	19.8±7.4	082（95.3）
统计值		t=0.964	χ²=0.003	t=4.478	t=8.538	t=1.539	χ²=0.007
P值		0.389	0.960	<0.001	<0.001	0.125	0.935

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