Nursing cooperation management for associating liver partition and portal vein ligation for staged hepatectomy in the treatment of giant hepatocellular carcinoma
Objective To summarize the experiences of nursing cooperation for laparoscopic associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)in the treatment of giant hepatocellular carcinoma.Methods This was a retrospective study.A total of 11 patients with giant hepatocellular carcinoma from Guangdong Provincial Hospital of Chinese Medicine from January 2018 to January 2023 were selected for the study,all male,aged(54.00± 11.38)years,and all of them underwent laparoscopic ALPPS.Nursing cooperation during surgery focused on preoperative assessment,materials preparation,precise cooperation for intraoperative bleeding control,and implementation of tumor-free principle.Results The 11 patients had good postoperative recovery without complications such as hepatic trauma bleeding,bile leakage,or secondary surgery.The length of hospital stay was(10.27±2.87)d after the first stage operation and(12.36±3.50)d after the second stage operation.Conclusions ALPPS is difficult,especially under laparoscope.Good preoperative visit and assessment,materials preparation,and precise nursing cooperation for controlling bleeding and hemostasis are important guarantees to improve the surgical effect and ensure the patients'surgical safety.
Hepatocellular carcinoma,giantAssociating liver partition and portal vein ligation for staged hepatectomyNursing management
万方数据
维普
