首页|3D腹腔镜结直肠癌根治术流程及器械标准化管理的效果观察

3D腹腔镜结直肠癌根治术流程及器械标准化管理的效果观察

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目的:探析流程及器械的标准化管理在3D腹腔镜结直肠癌根治术器械应用中的应用效果.方法:选择80例行结直肠癌根治术的患者,患者均于2021年1月~2022年1月来本院接受3D腹腔镜治疗.将2021年1月~2021年6月实施3D腹腔镜手术的44例患者设为对照组,行常规管理;将2021年7月~2022年1月实施3D腹腔镜手术的36例患者设为实验组,行流程及器械的标准化管理,观察术中及术后各项指标、器械摆台质量、器械清点用时、相关器械应用频率、不良事件发生占比.结果:实验组术中出血量比对照组低,P<0.05.实验组器械摆台完整度、规范性、有效性、及时性,比对照组高,P<0.05.两组器械清点用时(术前、关体腔前、关体腔后)相比较,实验组均较短,P<0.05.两组相关器械使用频率(整理手术台次数、传递器械次数、清洗手术器械次数)对比,实验组频率均较少,P<0.05.结论:在3D腹腔镜结直肠癌根治术器械应用中,相比于常规管理,流程及器械的标准化管理应用效果更为出色,可显著缩短器械清点用时,降低相关器械应用频率,对于提升手术效率具有不可忽视的作用.
Observation on the Effect of 3D Laparoscopic Radical Colorectal Cancer Resection Process and Standardized Device Management
Objective:To analyze the effect of standardized management in the application of 3D laparoscopic radical colorectal cancer.Methods:80 patients who underwent radical surgery for colorectal cancer were selected,and all patients came to our hospital from January 2021 to January 2022 for 3D laparoscopic treatment.44 patients who underwent 3D laparoscopic surgery from January 2021 to June 2021 were set as the control group and underwent routine management;36 patients who underwent 3D laparoscopic surgery from July 2021 to January 2022 were assigned to the experimental group,and standardized management of procedures and instruments was carried out.Various intraoperative and postoperative indicators,instrument setup quality,instrument inventory time,frequency of related instrument application,and proportion of adverse events were observed.Results:Experimental groupIntraoperative bleedingLow in the control group,P<0.05.The completeness,standardization,validity and timeliness of the experimental group were higher than that of the control group,P<0.05.Compared with the counting time of the two groups of instruments(preoperative,before,and after the body cavity),the experimental group was shorter,P<0.05.Compared with the frequency of related instruments(the number of finishing operating table,delivery and cleaning surgical instruments),the frequency of the experimental group was less,P<0.05.Conclusion:In the application of 3D laparoscopic radical colorectal cancer devices,compared with conventional management,the standardized management of process and devices is better,which can significantly shorten the counting of instruments,reduce the application frequency of related devices,and has a significant role in improving the surgical efficiency.

3D laparoscopycolorectal cancerapplication of surgical instrumentsstandardized management of procedures and instrumentsapplication effect

朱巍莹、邱继刚、祝尘远、孙杰

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复旦大学附属华东医院普外科 (上海 200240)

3D腹腔镜 结直肠癌 手术器械应用 流程及器械的标准化管理 应用效果

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(10)