目的：总结 26 例口咽癌患者采用经口入路达芬奇机器人辅助下口咽癌切除手术的护理配合与经验。 方法：回顾性分析 2017 年 6 月—2020 年 12 月在本院行口咽癌手术的 26 例患者的临床资料，采用经口机器人辅助 手术（Transoral Robot-assisted Surgery，TORS）治疗口咽癌的护理配合流程，包括机器人器械物品准备、手术室布局、 体位安置及护理配合。结果：26 例口咽癌患者均采用 TORS 顺利完成手术治疗。手术创伤小、术中出血量少，未出 现护理并发症。结论：手术护士完善术前准备，充分了解手术方式及患者体位安置要点，熟练掌握达芬奇机器人的 操作和排除故障方法，是经口机器人辅助口咽癌手术顺利完成的关键；精准、高效的护理配合可缩短手术时间，保证口咽癌患者的手术安全，提高其生存质量。

Objective: To summarize the nursing cooperation experience of 26 cases of transoral robot-assisted surgery for patients with oropharyngeal. Methods: Clinical data of 26 patients who underwent Da Vinci robot-assisted surgery for oropharyngeal cancer in Beijing United Family hospital from June 2017 to December 2020 were retrospectively analyzed. The nursing procedures in transoral robot-assisted surgery (TORS), including preparation of instruments for robotic surgery, operating room layout, patient positioning and care coordination, were summarized. Result: All 26 cases were treated by TORS successfully with smaller surgical trauma and less blood loss. No hypothermia, skin nerve injury, incision infection and other complications were found during the operations. Conclusion: Sufficient preoperative preparation, fully understand the surgical methods and positioning techniques, and proficiency in the operation and troubleshooting of Da Vinci robotic surgical system are keys to a successful transoral robot-assisted surgery for oropharyngeal cancer. Delicate and efficient nursing cooperation could shorten the operative time, ensure the safety and improve the quality of life of patients with oropharyngeal cancer.

收稿日期：2022-09-30  录用日期：2023-05-16 

Received Date: 2022-09-30  Accepted Date: 2023-05-16 

通讯作者：孙莹，Email：yings026@163.com 

Corresponding Author: SUN Ying, Email: yings026@163.com 

引用格式：李琼，葛蕊，孙莹，等 . 经口入路机器人辅助下口咽癌切除术的手术配合 [J]. 机器人外科学杂志（中英文），2023，4 （6）：567-571. 

Citation: LI Q, GE R, SUN Y, et al. Nursing cooperation of transoral robot-assisted surgery for oropharyngeal cancer[J].Chinese Journal of Robotic Surgery, 2023, 4(6): 567-571.

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