Application of robot-assisted laparoscope in partial nephrectomy / 局解手术学杂志

ABSTRACT

Objective To discuss the application experience of Da Vinci Surgical System ( DVSS)-assisted laparoscope in partial ne-phrectomy. Methods Nursing methods for the 170 patients to receive partial nephrectomy with laparoscope in the Urinary Surgery and the measures taken against the complications. Results The operations for the 170 patients were finished smoothly, with the average time of oper-ation being 130 min, the average warm ischemic time being less than 25 min, the average amount of bleeding being 100 mL, the average time of renal artery blocking being 36 min and the average intestinal recovery time after operation being 1. 9d;in addition, no conversion to open cholecystectomy occurred due to mechanical failure or other cause. After operation, the average hospital stay was 6d and there were no adverse reactions such as bleeding, leakage of urine, deep venous thrombosis and pulmonary embolism. Through clinical follow-up in 1 month, 3 months and 6 months, no significant change was found in renal function, no delayed renal hemorrhage and no acute renal failure. Conclusion In addition to common characteristics as traditional operation, the robot-assisted operation has its own characteristics. Prepara-tion for special surgical articles, effective communication with the patients, active cooperation and communication among the operation team before operation, cooperation during operation and care after operation, as well as mastery of the subsystems of the robot are the key to ensure a successful operation.