Perioperative nursing in excision of adrenal tumor by using laparoscope
- VernacularTitle:经腹腔途径腹腔镜肾上腺肿瘤切除术的围手术期护理
- Author:
Ying WANG
;
Jianming XU
- Publication Type:Journal Article
- Keywords:
Laparoscope;
Excision of adrenal tumor;
Preoperative nursing
- From:
Chinese Journal of Practical Nursing
2006;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the preoperative nursing care in excision of adrenal tumor by using laparoscope. Methods 72 patients with adrenal tumor have undergone the excision of adrenal tumor by using laparoscope in our hospital. Preoperative nursing included mental care, cardiac and pulmonary function assessement, pharmacotherapy, gastrointestinal and skin preparation. Postoperative monitoring the condition of all the patients, and given oxygen uptake to prevent hypercarbonemia. All the patients were encouraged to do functional recovery early and were guided to diet properly. Results All patients were successful obtained the excision of adrenal tumor by using laparoscope except two were reversed to open surgery. The patients could take food and leave bed in the first post-operative day. The mean post-operative stay was 6 days. Hydrothorax occurred in 2 cases and fat liquidation and wound infection occurred in 2 cases. There were no major complications such as hemorrhage and hypercarbonemia occurred. Conclusion The excision of adrenal tumor by using laparoscope is safe and reliable. Sufficient preoperative preparation, careful post-operative monitoring and timely using counter-measure are the key points in nursing care.
