Abstract
The objective is to explore the application effect of comprehensive nursing intervention in prevention of lower extremity deep vein thrombosis and pulmonary embolism in urological patients undergoing laparoscopic and robot-assisted laparoscopic surgery. From April 2019 to April 2020, 200 patients who received urological laparoscopic surgery and robot-assisted laparoscopic surgery were selected. According to the random number table method, they were divided into control group and observation group, 100 cases in control group and 100 cases in observation group. Patients in control group received routine nursing, while patients in observation group received comprehensive nursing intervention. The skin condition, swelling, pain, and occurrence of deep venous thrombosis and pulmonary embolism of lower extremities in 2 groups were observed. The experimental results showed that the lower limb swelling, lower limb pain, and lower limb deep vein thrombosis in the control group were significantly higher than those in the observation group, but all patients were cured and discharged after taking effective symptomatic treatment and nursing measures in time. In the control group, pulmonary embolism occurred in 3 patients, all of whom died. There was no significant difference in skin changes of lower limbs (P > 0.05), and there were significant differences in other skin changes (P < 0.05). It proved that comprehensive nursing intervention can effectively prevent the formation of lower extremity deep vein thrombosis and pulmonary embolism in urological patients undergoing laparoscopic and robot-assisted laparoscopic surgery with high-risk factors.
Highlights
IntroductionE da Vinci surgical system (DVSS) is widely used in clinical practice
In recent years, with the development of science and technology, minimally invasive surgery has become one of the mainstream directions in the development of urology, in which robotic surgery, as a new minimally invasive surgical method, is gradually being applied in the field of surgery [1].e da Vinci surgical system (DVSS) is widely used in clinical practice
The development of laparoscopic radical prostatectomy is relatively slow, with no obvious advantages compared with open surgery, and its clinical application is limited. e advent of the da Vinci robotassisted system has made a qualitative leap in laparoscopic surgery for prostate cancer, and its operation is stable and dexterous, showing obvious advantages [5]
Summary
E da Vinci surgical system (DVSS) is widely used in clinical practice It has a wide scope and mature technology and is gradually applied in urology including nephrectomy, renal tumor enucleation, adrenal tumor resection, pyeloplasty, total cystectomy, and radical prostatectomy [2]. Robot-assisted laparoscopic radical prostatectomy is the minimally invasive surgery with the most obvious advantages compared with open and traditional laparoscopic surgery among all urological robotic surgeries at present [3]. The development of laparoscopic radical prostatectomy is relatively slow, with no obvious advantages compared with open surgery, and its clinical application is limited. E advent of the da Vinci robotassisted system has made a qualitative leap in laparoscopic surgery for prostate cancer, and its operation is stable and dexterous, showing obvious advantages [5]. Compared with open and traditional laparoscopic surgery, robotic surgery has the advantages of less bleeding, fewer complications, faster postoperative recovery, and shorter hospital stay and can achieve the same or better oncology and functional results [7] the operation time is longer and the cost is higher
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