【摘要】:目的:分析腹腔镜模块化胃癌D2根治术患者围手术期护理，探索更优化的护理对策。方法:回顾性分析35例2007年12月至2009年12月期间接受此手术患者的临床病例资料。结果:全部病例手术均成功，手术平均用时(190.4±30.5)min，平均切口长度(5.9±0.8)cm，平均出血量(120.3±50.6)ml，1例出现切口感染并发症，均治愈。术后平均肛门排气时间及住院时间分别为(2.7±0.5)d、(6.1±0.9)d。结论:腹腔镜模块化胃癌D2根治术是安全可行的，但作为一种新的腹腔镜胃癌手术方式其难度大，术前做好患者的心理、生理护理及术后严密的病情观察、管路护理、并发症的护理、卫生知识宣教是腹腔镜模块化胃癌D2根治术患者围手术期护理的关键。

    【关键词】:胃癌;腹腔镜;模块化;围手术期;护理

    【中图分类号】R473.73【文献标识码】A【文章编号】1007-8517(2010)08-023-3

    Preoperative nursing of laparoscopy-assisted modularized D2 radical gastrectomy for gastric cancer

    【Abstracts】:Objective:To explore a more optimal nursing strategy by analyzing preoperative nursing of laparoscopy-assisted modularized D2 radical gastrectomy for gastric cancer. Methods:The clinical data of 35 patients with advanced gastric cancer received laparoscopy-assisted radical gastrectomy from December 2007 to December 2009 were analyzed retrospectively. Results:Laparoscopy-assisted modularized D2 radical gastrectomy for gastric cancer was carried out successfully in all cases.The mean operative time was(190.4±30.5)min，the mean length of incision was(5.9±0.8)cm ......