目的：总结机器人辅助腹腔镜小儿肾盂成形术的护理流程，探讨机器人小儿泌尿手术的围手术期模式。方法：回顾性分析 2014 年 5 月 ~2017 年 7 月于海军军医大学第一附属医院行机器人辅助腹腔镜肾盂成形术的26 例患儿（男 23 例，女 3 例）的围手术期资料和护理管理情况，包括患者基本资料、手术时间、术中出血、术后住院时间和术后并发症等。结果：26 例患儿机器人辅助腹腔镜手术均经腹腔顺利完成，无中转开腹手术，患儿年龄为（6.69±3.35）岁，手术时间为（183.19±81.463）min，术中出血量为（9.62±5.643）ml。术后平均住院时间为（4.85±1.056）d。机器人摆放就位时间由 30min 缩短为 15min，术后未发生任何因护理配合不当而出现的并发症。结论：机

器人手术系统在小儿泌尿手术中具有创伤小、出血少、疗效好等优点。在机器人手术中护理人员应充分完善护理准备、提升护理配合质量、总结经验，确保形成系统、有效的可行护理管理模式。

Abstract Objective: To summarize the nursing process of robot-assisted laparoscopic pyeloplasty in children, and to explore the perioperative mode of robot-assisted pediatric urinary surgery. Methods: Perioperative data and nursing management of 26 children who underwent robot-assisted laparoscopic pyeloplasty (23 males and 3 females) in Shanghai Changhai Hospital from May 2014 to July 2017 were retrospectively analyzed, including basic data, operation time, intraoperative bleeding, postoperative hospital stay and postoperative complications. Results: All the 26 cases were successfully completed through the abdominal cavity without conversion to laparotomy, with the age of (6.69±3.35) years old, the operation time of (183.19±81.463) min and the intraoperative bleeding of (9.62±5.643) ml. The average postoperative hospital stay was (4.85±1.056) days.The docking time was shortened from 30 min to 15 min. No complications due to improper nursing cooperation were found. Conclusion: robotic surgery system has small trauma, less bleeding and good curative effect in pediatric urinary surgery. Nurses shall make full preparations and improve the quality of nursing cooperation in pediatric urinary surgery, a systematic, effective and feasible nursing management model shall be explored to ensure the safety of robotic surgery.

收稿日期：2020-10-30  录用日期：2021-02-22

Received Date: 2020-10-30  Accepted Date: 2021-02-22

通讯作者：张曌，Email：shengxia-chmw@163.com

Corresponding Author: ZHANG Zhao, Email: shengxia-chmw@163.com

引用格式：宋丽，李沪生，陆益，等 . 机器人辅助腹腔镜小儿肾盂成形术的护理模式探讨 [J]. 机器人外科学杂志（中英文），2021，2（3）：200-204.

Citation: SONG L, LI H S, LU Y, et al. Nursing model of robot-assisted laparoscopic pyeloplasty in children[J]. Chinese Journal of Robotic Surgery, 2021, 2(3):200-204.

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