Cholecystectomy minimally invasive direct vision.docVIP

 PAGE \* MERGEFORMAT 8 Cholecystectomy minimally invasive direct vision Paper Keywords cholecystectomy minimally invasive direct vision Perioperative Care Abstract Objective: Minimally invasive direct vision cholecystectomy perioperative care methods and characteristics. Methods: 40 patients with calculous cholecystitis, gallbladder polyps and other minimally invasive open heart disease patients who underwent cholecystectomy, preoperative guidance , psychological care and intraoperative care, postoperative monitoring of vital signs, observation of the disease, rehabilitation activities and diet guide comprehensive care Results: 40 patients before and after surgery mental health condition stable, with stable vital signs after surgery, no bleeding, biliary fistula, were successfully discharged. Conclusions: Minimally invasive direct vision cholecystectomy perioperative surgical care is successful, an important guarantee for successful rehabilitation of patients. In order to meet the development of minimally invasive surgery, the direction of our hospital in December 2006 - September 2008 minimally invasive devices, use of 2.5 ~ 3.5cm small incision cholecystectomy look straight down in 40 cases of surgical results were satisfactory, care process is also different from traditional methods, now perioperative nursing as follows. Materials and Methods General information: The group of 40 patients, 13 males and 27 females, aged 32 to 74 years old, cholecystitis, 37 cases of gallbladder polyps in 2 cases of acalculous cholecystitis in 1 case. Surgical method: After the success of epidural anesthesia, the patient supine, the surgeon using the conventional minimally invasive surgical instruments plus series of surgical instruments, including titanium clamp, clamp separation, separation scissors, grasping forceps, cold light retractor, minimally invasive red suction strip, etc., through the small incision made under direct vision (2.5-3.5cm), surgi