Kaar J
Overlook Hospital, Summit, NJ, USA.
AORN J. 1999 Sep;70(3):455-60; quiz 461-2, 464-6. doi: 10.1016/s0001-2092(06)62326-0.
Laparoscopic cholecystectomy is one of the most frequently performed laparoscopic procedures today and involves the same surgical principles as an open cholecystectomy, except that access to the abdomen is gained transabdominally using video laparoscopic techniques and instrumentation. Registered nurse first assistants (RNFAs) provide retraction and tissue exposure for the surgeon during this procedure and should be aware of safe laparoscopic surgical techniques and potential injuries that can occur from manipulation of surrounding structures. The experience and expertise of the RNFA when assisting in a laparoscopic cholecystectomy are key to the successful completion of the surgery.
腹腔镜胆囊切除术是当今最常开展的腹腔镜手术之一，除了通过视频腹腔镜技术和器械经腹进入腹腔外，其手术原则与开腹胆囊切除术相同。注册护士第一助手（RNFA）在该手术过程中为外科医生提供牵拉和组织暴露操作，应了解安全的腹腔镜手术技术以及因操作周围结构可能发生的潜在损伤。RNFA在协助腹腔镜胆囊切除术时的经验和专业技能是手术成功完成的关键。
