Nursing Cooperation of a Case of Leonardo's Robot-assisted Off-pump Whole Artery Small Incision Coronary Artery Bypass Grafting
Journal: Advanced Journal of Nursing DOI: 10.32629/ajn.v3i1.980
Abstract
Objective — To summarize the nursing experience of a case of Leonardo's robot-assisted off-pump total artery small incision coronary artery bypass grafting. Methods — The key points of surgical cooperation included: Preoperative visit and communication with medical staff, detailed understanding of surgical methods, preoperative preparation of items, intraoperative position placement and placement of Leonardo's robot equipment, reasonable arrangement of operating room according to surgical methods and close intraoperative cooperation. Results — The patient was successfully conducted with cardiac surgery with less intraoperative bleeding and was admitted to ICU for further treatment. Tracheal intubation was removed on the 1st postoperative day, and the patient was transferred to cardiac surgery ICU on the 2nd postoperative day. Chest drainage tube was removed on the 6th postoperative day, and the patient was discharged successfully on the 9th postoperative day. Conclusion — Robot-assisted off-pump whole artery small incision coronary artery bypass grafting enjoys obvious advantages over thoracotomy. There is less bleeding in the postoperative with low complication rate, so the pain of patients is reduced with fast the postoperative recovery. Therefore, it won high satisfaction among patients. Good preoperative, intraoperative and postoperative nursing is an important guarantee to promote the rehabilitation of patients.
Keywords
robot, internal mammary artery, radial artery, coronary artery bypass grafting, nursing cooperation
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[2] Stone GW, Kappetein AP, Sabik JF, et al. Five-year outcomes after PCI or CABG for left main coronary disease. N Engl J Med, 2019, 381(19): 1820-1830.
[3] TRANBAUGH R F, DIMITROVA K R, FRIEDMANN P, et al. Coronary artery bypass grafting using the radial artery: clinical outcomes,patency,and need for reintervention[J]. Circulation, 2012, 126(11 Suppl 1): S170-S175.
[4] DEB S, COHEN E A, SINGH S K,et al.Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery:results from PAPS (Radial Artery Patency Study)[J]. J Am Coll Cardiol, 2012 , 60(1): 28-35.
[5] Ye Cong, Zhao Qiang. Research progress of radial artery in coronary artery bypass grafting [J]. Journal of Qingdao University School of Medicine, 2015, 51(04): 497-499. DOI: 10.13361/j.qdyxy. 201504042.
[6] Wang Dongjin, Wang Qiang. Clinical application experience of da Vinci robotic surgery system in cardiac surgery [J]. Chinese Journal of Circulation, 2018, 33(S1): 40.
[7] Liu Bing, Cheng Nan, Shen Hua, Wang Rong. Robot-assisted bilateral internal mammary artery to obtain five coronary artery bypass grafts with minimally invasive small incision [J]. Chinese Journal of Thoracic and Cardiovascular Surgery, 2021, 28 (06): 650-655.
[8] Huang Weimin, Zhang Yuhai, Wang Liang. Meta-analysis of the clinical effect of traditional open heart surgery using the Da Vinci surgical system in China [J]. Chinese Journal of Cardiovascular Circulation, 2022, 20(01): 30-34. DOI: 10.13498/j.cnki.chin.j.ecc.2022.01.08
[9] Cheng Nan, Yang Ming, Wang Mingyan, Liu Bing, Shen Hua, Guo Pengfei, Zhao Yuancheng, He Tiantian, Xu Ke, Wang Rong. Cardiac multivessel disease[J]. Journal of Robotic Surgery(Chinese and English), 2020, 1(01): 43-49+22.
[10] Kong Xiangyi, Xia Yujun, Wang Shoubiao. Clinical application and research progress of minimally invasive coronary artery bypass grafting [J]. Qilu Medical Journal, 2011, 26(05): 468-470.
[11] Hammal F, Nagase F, Menon D, et al. Robot-assisted coronary artery bypass surgery: a systematic review and meta-analysis of comparative studies[J]. Can J Surg, 2020, 63(6): E491- 508.
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