Laparoscopic cholecystectomy Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 7 Laparoscopic cholecystectomy Perioperative Nursing Laparoscopic cholecystectomy (Laparoscopiccholecystectomy LC because of their trauma patients, less pain, scarring and rapid recovery of small advantages, more and more favored by the majority of surgeons and was accepted by most patients, benign disease has become the gold gallbladder standards. now 6 years in our hospital care line LC968 cases reported as follows. 1 Materials and Methods Our hospital from August 2004 to February 2010 a total line LC968 cases, male 590, female 378, aged 20-74 years, mean 48.3 years, all patients underwent B-mode ultrasound or chronic cholecystitis 629 cases of acute exacerbation of chronic cholecystitis in 76 cases, 263 cases of polypoid lesions of gallbladder. to complete the 957 cases of LC, another 11 cases of acute onset of inflammatory edema and omentum wrapped very difficult to separate the conversion to open surgery. placing peritoneal drainage in 21 cases, bile leakage in 1 patient due to delayed extubation, the more than 20 patients were extubated within 48h. 1d majority of patients get out of bed after surgery, a few older or infirm persons encouraged to 24h after of bed. All those wounds were LC grade healing. postoperative hospital stay 4d. 2 Care 2.1 Preoperative Care 2.1.1 Psychological Care: Based on the biological - psychological - social medical model that significantly affect the psychological state of patient treatment and prognosis to the smooth implementation of [1] . Although minimally invasive surgery, but patients also have tension, anxiety, fear of emotions. We found no history of hypertension over the past approximately 30% after admission showed a transient high blood pressure, so nurses should keep abreast of the patient’s state of mind, good preoperative mission, detailing the advantages and cautions LC to alleviate the psychological burden of patients. especially for the mountain never traveled far