Effects of different surgical position on the comfort of surgeons and patients during hepatectomy

Abstract

Objective To investigate the effects of different surgical position on the comfort of surgeons and patients during hepatectomy. Methods One hundred patients with liver carcinoma in Southern Hospital of Southern Medical University from October 2014 to October 2015 were selected by purposive sampling method. Patients were simply randomly divided into the observation group and the control group by computer generated random numbers, with 50 patients in each group. Patients in two groups were operated by the same team of surgeons using the same basic surgical approach. The control group adopted the traditional supine position, while the observation group used the modified position placement method. Patient′s comfort, the convenience and comfort of surgeons as well as postoperative position related complications were evaluated. Results In the observation group, after the application of modified supine position placement, patients′ comfort was significantly higher compared to the control group (Z=-3.458, -9.210; P<0.01) . The convenience of surgeons significantly increased, and the operation comfort was significantly higher compared to the control group (χ2=7.440, 6.061; P<0.01) . The satisfaction of patients and surgeons significantly increased. In the observation group, patients′ satisfaction was 94.0% and the surgeons′ satisfaction was 96.0%, and they were significantly higher compared to the control group (patients: 74.0%, surgeons: 80.0%; P<0.01) . Conclusions During hepatectomy, the application of modified operation position has a good effect on reducing intraoperative physical fatigue and improving the postoperative comfort of patients. Key words: Liver carcinoma; Operation position; Comfort; Satisfaction