Comparison between laparoendoscopic cholecystectomy with abdominal wall lift and pneumoperitoneum laparoscopic cholecystectomy
10.3760/j.issn.1674-2907.2014.25.028
- VernacularTitle:悬吊式与气腹式腹腔镜胆囊切除术护理配合的比较
- Author:
Haiyan WANG
1
;
Yanqin TAN
;
Hui ZHANG
Author Information
1. 264200 山东省威海市立医院手术室
- Keywords:
Cholecystectomy,laparoscopic;
Pneumoperitoneum;
Suspension;
Satisfaction;
Nursing cooperation
- From:
Chinese Journal of Modern Nursing
2014;20(25):3225-3228
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the nursing technique between laparoendoscopic surgery with abdominal wall lift ( LESC) and that with pneumoperitoneum laparoscopic cholecystectomy ( PLC) .Methods Data from 76 patients who underwent LESC and 72 patients who underwent PLC between April 2012 and May 2013 were collected .The operating time , estimated blood loss , shoulder and back pain rate , doctors and patients'satisfaction were observed .Results The mean estimated blood loss was significantly more in the LESC group than that in the PLC group [(298.20 ±47.78) vs (533.22 ±90.29)ml;t=-5.144, P<0.05)], while the shoulder and back pain rate of LESC group was significantly lower than that of PLC group (7 vs 1 cases;χ2 =4.129,P<0.05).The doctors'satisfaction in PLC group was higher than that in LESC group ( P<0.05), especially in property transfer accuracy and instrument proficiency ( t=3.130,3.536,respectively;P<0.05).The patients'satisfaction had no significant difference (t=-1.925,P>0.05), while the posture comfort of patients in LESC group was higher than that in PLC group (t=-2.746,P<0.05).Conclusions Operation nurses should fully master the nursing technique and characters of LESC and PLC in order to improve the surgical nursing quality , and the doctor-nurse cooperation is the key for the success of LESC .
