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目的:探究单操作孔全胸腔镜下纵隔肿瘤切除术的最佳手术配合方法和流程。方法:以佛山市第一人民医院2014年2月-2016年3月收治的行单操作孔全胸腔镜(C-VATS)纵隔肿瘤切除术患者62例为研究对象,行术前护理、术中配合,术后护理,对手术效果与护理情况观察与分析。结果:62例患者手术顺利,均安全返回病房并康复出院,无术后血胸,伤口感染和神经损伤等并发症。结论:充分的器械与设备准备是保障单操作孔全胸腔镜手术切除纵隔肿瘤术安全的必要因素,常规准备无尾小纱块压迫止血可减少术中出血,熟练掌握手术步骤能缩短手术时间、有效预防术后并发症。
Objective: To explore the best operative method and procedure of total thoracoscopic mediastinum tumor resection with single operation hole. Methods: Totally 62 patients undergoing C-VATS mediastinum tumor resection from the First People’s Hospital of Foshan City from February 2014 to March 2016 were enrolled in this study. Preoperative nursing, intraoperative Cooperation, postoperative care, observation and analysis of the effect of surgery and nursing. Results: Sixty-two patients were successfully surgically returned to the ward and discharged from hospital without any complications such as hemothorax, wound infection and nerve injury. Conclusion: Adequate equipment and equipment preparation is a necessary factor to ensure the safety of the operation of the mediastinum tumor undergoing single thoracoscopic surgery. Comparing with conventional preparation of the tailless small block compression hemostasis can reduce intraoperative bleeding, proficiency in surgical procedures can shorten the operation time, Effective prevention of postoperative complications.