目的：总结机器人辅助腹腔镜下婴幼儿肾盂输尿管成形术的手术室护理配合经验，进一步优化、细化手术配合流程，为该手术护理流程标准化提供借鉴。方法：回顾性分析 2016 年 3 月 21 日 ~2018 年 3 月 21 日 175例患者在中国人民解放军总医院第七医学中心行机器人辅助腹腔镜下婴幼儿肾盂输尿管成形术的手术配合情况。结果：175 例患儿手术效果良好，术中均未发生中转开放手术，无手术并发症发生。结论：机器人辅助腹腔镜下婴幼儿肾盂输尿管成形术安全可行，具有视野清晰、操作精准、恢复快、美容效果好等优点。手术室护士的专业化技术培训、完善的术前准备、仪器设备的有效管理、安全合理的手术体位安置是确保手术顺利进行和成功的关键，同时应注意患儿的术中体温及皮肤管理。

Objective: To summarize the nursing cooperation experience in robot-assisted laparoscopic pyeloureteroplasty for infants, so as to further optimize, refine the surgical cooperation process and provide references for the standardized nursing cooperation procedures. Methods: The nursing cooperation in robot-assisted laparoscopic pyeloureteroplasty for infarrts in the Seventh Medical Center of Chinese PLA General Hospstal from 21th March 2016 to 21th March 2018 were retrospectively analyzed. Results: All the 175 cases were successfully completed, no conversion to open laparotomy or complications occured during the operation. Conclusion: Robot-assisted laparoscopic pyeloureteroplasty for infants is safe and feasible with the advantages of clear vision, accurate operation and fast recovery. However, it requires professional technical training, full preparation before surgery, effective management of instruments and equipment and reasonable operation positions, the body temperature of infants and skin management shall be specially concerned during operation.

收稿日期：2020-09-07  录用日期：2021-01-06

Received Date: 2020-09-07  Accepted Date: 2021-01-06

基金项目：首都卫生发展科研专项（2016-2-5091）

Foundation Item: Capital’s Funds for Health Improvement and Research (2016-2-5091)

通讯作者：刘婷，Email：tingting9718@sina.com

Corresponding Author: LIU Ting, Email: tingting9718@sina.com

引用格式：孔娜，刘婷，周辉霞 . 机器人辅助腹腔镜下婴幼儿肾盂输尿管成形术的护理配合 [J]. 机器人外科学杂志（中英文），2021，2（3）：186-192.

Citation: KONG N, LIU T, ZHOU H X. Nursing cooperation in robot-assisted laparoscopic pyeloureteroplasty for infants [J].Chinese Journal of Robotic Surgery, 2021, 2 (3): 186-192.

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