Perioperative nursing of a patient with massive renal cell carcinoma and Mayo stageⅢ tumor thrombus undergoing robot-assisted nephrectomy
10.3761/j.issn.0254-1769.2024.08.005
- VernacularTitle:1例机器人辅助切除巨大肾细胞癌伴Ⅲ级癌栓患者的护理
- Author:
Yuntao MAO
1
;
Lili CHEN
;
Xiaoxiao CHEN
;
Ying WANG
Author Information
1. 310003 杭州市 浙江大学医学院附属第一医院手术室
- Keywords:
Robotic Surgery;
Renal Cell Carcinoma;
Inferior Vena Cava Tumor Thrombus;
Perioperative Nursing
- From:
Chinese Journal of Nursing
2024;59(8):930-933
- CountryChina
- Language:Chinese
-
Abstract:
This research provides an overview of the perioperative nursing care for a patient with a massive renal cell carcinoma and Mayo Stage Ⅲ tumor thrombus who underwent a robot-assisted nephrectomy complicated by sig-nificant intraoperative bleeding and CO2 embolism.Key nursing considerations included multidisciplinary preoperative discussions,developing stepwise intraoperative emergency plans,establishing an integrated nursing workstation,and the optimization of patient monitoring.During the surgery,nursing efforts were focused on supporting the robot-as-sisted procedure,closely monitoring the patient's condition,preventing intraoperative complications,initiating emergency plans as needed,actively managing major bleeding and CO2 embolism,and implementing structured positioning to minimize the risk of falls during the procedure.Postoperatively,the focus was on preventing secondary thrombus formation,managing active bleeding,and monitoring for liver and kidney ischemia-reperfusion injury.Through multi-disciplinary interventions and meticulous nursing care,the patient was discharged after a 13-day postoperative recovery.
