All 86 cases of laparoscopic splenectomy Nursing.docVIP

 PAGE \* MERGEFORMAT 6 All 86 cases of laparoscopic splenectomy Nursing [Keywords:] splenectomy, laparoscopic, perioperative nursing Laparoscopic splenectomy (laparoscopic splenectomy, LS) and open splenectomy compared with less bleeding, faster recovery after surgery, the advantages of short hospital stay, it is widely used in the clinical phase [1]. I Division 2003 to 2009 carried out a total of 86 cases, satisfactory results were achieved. now reported as follows Nursing. 1 Materials and Methods A total of 86 patients in this group of patients, 52 males and 34 females, aged 14 to 71 years, mean 32 years old, a history of 1 month to 15 years, an average of 7 years. Which portal hypertension in 28 patients, idiopathic thrombocytopenic purpura, 45 cases of traumatic rupture in 13 cases. intubation anesthesia in under the line LS surgery. LS with four-hole method, the patient was supine position, right in the navel, xiphoid, the middle and the left subclavian umbilical level crossing point, Zuoye plane crossing the front line with the umbilical incision, respectively, at the home hole. to establish a good after pneumoperitoneum, surgical exposure and cut off the relevant ligaments in turn, free treatment splenic pedicle, cut out the spleen, the sample bags spleen, the spleen hole after breaking out from the main action, if necessary, disposal of drainage tubes in the spleen a nest. 2 Results 86 cases of surgery because of bleeding in 1 patient converted to laparotomy, the remaining 85 cases were successful, the blood loss of about 20 ~ 500 mL, the average (120 + -16) mL, operative time was 60 ~ 180 min, mean ( 130 + -26) min, intraoperative peritoneal drainage tube placed drainage volume 10 ~ 600 mL, 3 d after removal. operative day 2 get out of bed, 24 ~ 48 h after flatus, to stop the stomach after 2 d intestinal decompression times liquid diet. hospitalization time 5 ~ 16 d, average (10.4 + -0.2) d. The patients in the 3 cases of splenic ve