Fangfang Wang1, #, Xiaohong Qi1, #, Xiaoshuang Cheng1, Rong Chen1, Xieqin Du2, *
1Department of Urologu Surgery, Wuhan Third Hospital, Wuhan, PR China - 2Department of Surgery, Wuhan Third Hospital, Wuhan, PR China
Objective: To analyse the perioperative nursing effect in patients with T1-stage renal cancer undergoing partial nephrectomy under 3D laparoscope.
Methods: From May 2017 to August 2018, 80 patients with T1-stage renal cancer who underwent 3D laparoscopic partial nephrectomy in our hospital were included in this study. According to the different perioperative nursing methods, they were divided into an intervention group and a control group, with 40 patients in each intervention group. Patients in the control group received routine nursing intervention after partial nephrectomy, while patients in the intervention group received perioperative nursing intervention on the basis of the control group. The operation time, anal exhaust time and average hospitalisation time of the renal cancer patients in the two groups were observed. The incidence of complications, comfort in the hospitalisation stage, compliance behaviour, pain score and nursing satisfaction of renal cancer patients in the two groups were compared.
Results: Compared with the control group, the operation time, anal exhaust time and average hospitalisation time of the renal cancer patients in the intervention group were significantly reduced (P<0.05). In the intervention group, the amount of bleeding, the indwelling drainage tube time and the total drainage volume were all significantly lower than those in the control group (P< 0.05). In the intervention group, there was one case of incision infection, one case of incision rupture and one case of faecal fistula, and the total incidence of complications was 12.50%. In the control group, there were seven cases of incision infection, five cases of incision rupture, one case of intestinal obstruction, three cases of abdominal abscess and four cases of faecal fistula, and the total incidence of complications was 50.00%. The difference between the two groups was statistically significant (P<0.05). In the intervention group, the compliance behaviour, pain score and nursing satisfaction were significantly higher than those in the control group (P<0.05). Compared with the control group, the comfort level of renal cancer patients in the intervention group was significantly higher (P<0.05).
Conclusion: Perioperative nursing can significantly reduce the operation time of T1 stage renal cancer patients undergoing 3D laparoscopic partial nephrectomy, reduce the amount of bleeding and drainage during surgery, promote anal exhaust and help patients recover; it can also reduce the risk of complications and postoperative pain, enhance patients’ compliance behaviour and comfort during hospitalisation and establish a good doctor-patient relationship.
3D laparoscopy, T1 stage renal cancer, partial nephrectomy, perioperative nursing.