中国卫生质量管理2024,Vol.31Issue(1) :58-64.DOI:10.13912/j.cnki.chqm.2024.31.1.13

降低肝癌患者腹腔镜肝切除术后并发症发生率

Reducing the Incidence of Complications after Laparoscopic Hepatectomy in Patients with Liver Cancer

张英 郭敬 郑璐 尤楠 杨凤霞 陈锦
中国卫生质量管理2024,Vol.31Issue(1) :58-64.DOI:10.13912/j.cnki.chqm.2024.31.1.13

降低肝癌患者腹腔镜肝切除术后并发症发生率

Reducing the Incidence of Complications after Laparoscopic Hepatectomy in Patients with Liver Cancer

张英 1郭敬 1郑璐 1尤楠 1杨凤霞 1陈锦1
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作者信息

  • 1. 陆军军医大学第二附属医院 重庆 400037
  • 折叠

摘要

成立医、护、技、管多学科协作团队,针对降低肝癌患者腹腔镜肝切除术后并发症发生率开展品管圈活动.建立了术前、术中、术后 3 大创新改进策略,包括:创建"FLAG"评估策略,精准预测残肝功能,精确规划手术方案;构建"4D"策略,精准切除肿瘤病灶,精确控制术中出血;创建"4P"策略,精准预测术后风险,精确实施风险管理.通过改进,肝癌患者腹腔镜肝切除术后并发症发生率从 22.76%降低至 7.09%,促进了患者快速康复,降低了医疗风险.

Abstract

A multidisciplinary team of medicine,nursing,technology and management was established to carry out quality control circle activities aimed at reducing the incidence of complications after laparoscopic hepatectomy in patients with liver cancer.Three innovative improvement strategies were established before operation,during operation and after operation,including:creating a"FLAG"evaluation strategy,accurately predicting residual liver function,and accurately planning surgical programs;establishing the"4D"strategy to accurately remove tumor lesions and accurately control intraoperative bleeding;creating a"4P"strategy to ac-curately predict postoperative risks and accurately implement risk management.Through the improvement,the complication rate of patients with liver cancer after laparoscopic hepatectomy was reduced from 22.76%to 7.09%,which promoted the rapid recovery of patients and reduced the medical risk.

关键词

品管圈/问题解决型品管圈/肝癌/腹腔镜肝切除术/并发症

Key words

Quality Control Circle/Problem Solving Quality Control Circle/Liver Cancer/Laparoscopic Hepatectomy/Complication

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基金项目

重庆市科卫联合医学科研项目面上项目(2023MSXM004)

陆军军医大学人文社科基金项目(2022XRW17)

出版年

2024
中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
参考文献量15
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