以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (13): 71-73.doi: 10.16460/j.issn1008-9969.2022.12.071

Previous Articles     Next Articles

Nursing Cooperation in Laparoscopic Pancreaticoduodenectomy Combined with Vascular Reconstruction: A 11-case Study

TONG Zhi-lan, JIA Xue-qin, ZHANG Qi-mei   

  1. Operating Room, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou510120, China
  • Received:2022-04-24 Online:2022-07-10 Published:2022-08-02

PDF (PC)

193

Like

Abstract: Objective To summarize the nursing experience in laparoscopic pancreaticoduodenectomy (LPD) combined with vascular reconstruction. Methods The data of 11 patients with pancreatic carcinoma with LPD in our hospital from January 2019 to April 2022 were collected. Essential nursing points included precise nursing cooperation for length measurement, resection, reconstruction and evaluation of tumor invaded blood vessels and prevention of deep venous thrombosis of lower limbs. Results Nine patients completed the surgery, while two patients were converted to open surgery. All patients were reexamined with CT after the operation. No death cases and nursing complications were found during perioperative period. Conclusion LPD combined with vascular reconstruction is challenging and preoperative visits and special supplies should be fully prepared. Precise nursing cooperation is needed for the reconstruction and evaluation of tumor invaded blood vessels. Emergency treatment of special cases during operation and prevention of deep venous thrombosis of lower limbs are important to improve the surgical effect and the safety of patients.

Key words: laparoscopic pancreaticoduodenectomy, vascular reconstruction, surgery, nursing cooperation

CLC Number: 

  • R472.3
[1] Katsuki R, Jo T, Yasunaga H, et al.Outcomes of Laparoscopic Versus Open Pancreatoduodenectomy: A Nationwide Retrospective Cohort Study[J]. Surgery, 2021,169(6):1427-1433. DOI: 10.1016/j.surg.2020.12.018.
[2] 高攀, 蔡云强, 彭兵. 联合门静脉-肠系膜上静脉切除重建的腹腔镜胰十二指肠切除术关键技术环节[J]. 中国实用外科杂志,2022,42(5):518-526.DOI:10.19538/j.cjps.issn1005-2208.2022.05.10.
[3] Asbun HJ, Moekotte AL, Vissers FL, et al.The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection[J].Ann Surg,2020,271(1):1-14.DOI: 10.1097/SLA.0000000000003590.
[4] Shen Z, Wu X, Chen G, et al.Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer using In-situ No-touch Isolation Technique[J]. J Vis Exp, 2022(180):e63450. DOI: 10.3791/63450.
[5] Bockhorn M, Uzunoglu FG, Adham M, et al.Borderline Resectable Pancreatic Cancer: A Consensus Statement by the International Study Group of Pancreatic Surgery(ISGPS)[J]. Surgery, 2014,155(6):977-988.DOI:10.1016/j.surg.2014.02.001.
[6] 成伟, 代满雄. 腹腔镜胰十二指肠切除术中出血特点及处理[J]. 中国实用外科杂志, 2022,42(5):532-534. DOI:10.19538/j.cjps.issn1005-2208.2022.05.13.
[7] 姚利, 丁敏, 吴燕. 肿瘤患者静脉血栓栓塞症预防和管理的最佳证据总结[J]. 上海护理, 2021,21(12):19-24. DOI: 10.3969/j.issn.1009-8399.2021.12.004.
[8] 谷玥, 赵秋月, 董杉杉. 1例肝总动脉血管变异行腹腔镜胰十二指肠切除及人工血管重建术患者的护理[J]. 护理学报,2019,26(20):51-52.DOI:10.16460/j.issn1008-9969.2019.20.051.
[1] ZHOU Yi-feng, YANG Ji-ping, PENG Yao-li, YUAN Hao, SHI Ze-ya. Evidence-based Body Temperature Management in Cardiopulmonary Bypass Surgery [J]. Journal of Nursing, 2022, 29(3): 40-45.
[2] DENG Ying-ying, PEI Hua-qing, REN Ying, YIN Chun-mei, WEN Mei, ZHANG Xiao-ling. Evidence-based Practice of Prevention of PICC-related Venous Thrombosis in Critically Ill Neurosurgical Patients [J]. Journal of Nursing, 2022, 29(11): 36-40.
[3] PANG Xue-ying, HU Shao-hua, LI Hui, YIN Dan-qiao, ZHANG Shang-xin, YANG Xiao-dong. Establishment of Nomogram Model to Predict Major Low Anterior Resection Syndrome in Patients with Rectal Cancer One Year after Sphincter-preserving Surgery [J]. Journal of Nursing, 2022, 29(11): 5-10.
[4] GUAN Yan, LU Shan, YE Jia-xin, WANG Zhe-yun. Construction and Application of Standardized Practice Scheme for Pressure Injury after Cardiac Surgery [J]. Journal of Nursing, 2021, 28(7): 15-20.
[5] ZHOU Yi-feng, YANG Ji-ping, YUAN Hao, WU Juan. Evidence Summary of Body Temperature Management in Cardiac Surgery with Extracorporeal Circulation [J]. Journal of Nursing, 2021, 28(5): 26-31.
[6] LIANG Dong-yan, GONG Pi-xin, QIU Ling-dong, WANG Hui, SHAO Mei-ying, SUN Zheng. Rehabilitation Effect of Enhanced Recovery after Surgery on Lung Cancer Patients Undergoing Thoracoscopic Radical Surgery：A Meta Analysis [J]. Journal of Nursing, 2021, 28(23): 41-46.
[7] WANG Yan, WANG Zhe-yun, YE Jia-xin, GUAN Yan, YU Yun, LU Shan. Effect of Different Preset Temperature of Cooling Blanket on Cooling Effect and Complications after Cardiac Surgery [J]. Journal of Nursing, 2021, 28(21): 67-70.
[8] SHEN Yan, CHEN Lan, FEI Kai-hong, PAN Heng-de, YU Jia-qi, WANG Ying, JIANG Yan-hua, ZHANG Jie, YAO Ye-ying. Best Evidence Summary of Early Mobilization after Liver Transplantation [J]. Journal of Nursing, 2021, 28(16): 16-21.
[9] LIU Yang, LUO Jian, ZHU Pei-pei, ZHOU Xing-ting, LIU Miao, WANG Li-yuan, LI Zhuo-ying, ZHU Xiao-min. Quality Evaluation and Content Analysis of Rehabilitation Guidelines for Patients after Hip Surgery [J]. Journal of Nursing, 2021, 28(12): 56-61.
[10] ZHANG Man-man, DUAN Hong-xiang, ZHOU Xiao-yang, ZOU Zhen-ya, MAO Jin-bao. Reducing Incidence of Intraoperative Hypothermia for Neurosurgery Patients Undergoing General Anesthesia with PDCA Circulation [J]. Journal of Nursing, 2021, 28(12): 10-15.
[11] SHAN Ya-wei, CHEN Wei-jia, JIN Li-juan, FENG Hai-ping, CHEN Ru, FENG Cheng-cheng. Development of Evidence-based Practice Protocol for Enhanced Recovery after Total Knee Arthroplasty [J]. Journal of Nursing, 2020, 27(21): 33-39.
[12] . Evidence-based Nursing Practice of Physical Restraint Standardized Management in Neurosurgery Department [J]. Journal of Nursing, 2020, 27(19): 41-46.
[13] XU Bin, HAN Jie, DONG Yao, ZHANG Hong-ying. Nursing Cooperation in Ozaki Technique for Aortic Valve Reconstruction: A 32-case Study [J]. Journal of Nursing, 2020, 27(15): 66-68.
[14] GUO Ya-ping, GUO Shu-li, LI Min, HOU Hai-yan. Effect of Action Research on Nursing Skill of Intestinal Stoma in Surgical Nurses [J]. Journal of Nursing, 2020, 27(12): 6-9.
[15] GUO Xiao-yu, SHI Dong-li, ZHANG Zheng-mei, LI Na, ZHANG Pei-feng, YANG Li-juan. Best Evidence Summary for Early Removal of Urinary Catheters in Male Patients after Lumbar Spine Surgery under General Anethesia [J]. Journal of Nursing, 2020, 27(11): 46-51.
Viewed
Full text


Abstract

Cited
  Shared   
[1] MA Hui, YANG Fu-guo, LU Xiao-hong, XIA Ting-ting, YIN Chun-lan, LI Yao-yao. Influence Factors of Self-management Behavior of Patients with Percutaneous Coronary Intervention[J]. Journal of Nursing, 2018, 25(20): 1 -4 .
[2] MA Jing-shuang, SUN Qian, WANG Yan-jie. Role of PAD Class in Teaching of Introduction to Nursing Science[J]. Journal of Nursing, 2018, 25(20): 5 -7 .
[3] . [J]. Journal of Nursing, 2018, 25(20): 8 -9 .
[4] YU Jie, JI Hong, WANG Zhao-xiu, ZHANG Yan-hong, DING Wen-xiu. Compassion Fatigue of Nurses: A Conceptual Analysis[J]. Journal of Nursing, 2018, 25(20): 10 -14 .
[5] . [J]. Journal of Nursing, 2018, 25(20): 14 -17 .
[6] LENG Zhi-bing, YANG Xiao-ling, YANG Ping, WANG Xiao-yuan, XIE Jian-lei, PU Heng-ping. Meta-analysis of Different Effects of Pre-hospital and Hospital Endotracheal Intubation on Prognosis of Patients with Severe Traumatic Brain Injury[J]. Journal of Nursing, 2018, 25(20): 18 -23 .
[7] ZHAO Shi-yu, KE Hui, LI Meng-yuan, XIONG Can, YU Jiao-hua. Effect of Enteral Nutritional Supplements on Prevention and Treatment of Pressure Ulcers: A Systematic Review[J]. Journal of Nursing, 2018, 25(20): 24 -30 .
[8] ZHENG Wen, CHOU An, ZHANG Li-bin, SHENG Li-sha. Development of Evaluation Index System of Tacit Knowledge for Higher Vocational Nursing Students[J]. Journal of Nursing, 2018, 25(20): 31 -36 .
[9] DU Lan-yu, HU Xia, WANG Xiang-hong, LIU Hai-na, REN Lei, ZHU Xiao-xiu, DUAN You-ping. Prevalence of Frailty in Patients with Maintenance Hemodialysis and Its Effect on Prognosis[J]. Journal of Nursing, 2018, 25(20): 37 -41 .
[10] . [J]. Journal of Nursing, 2018, 25(20): 42 -46 .