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微创癌症手术:适应症与疗效

Minimally Invasive Cancer Surgery: Indications and Outcomes.

作者信息

Sun Virginia, Fong Yuman

出版信息

Semin Oncol Nurs. 2017 Feb;33(1):23-36. doi: 10.1016/j.soncn.2016.11.003. Epub 2017 Jan 3.

DOI:10.1016/j.soncn.2016.11.003
PMID:28062330
Abstract

OBJECTIVES

To review the current evidence on the impact of minimally invasive, robotic-assisted cancer surgery (thoracic, gastrointestinal, gynecologic, genitourinary) on surgical outcomes and quality of life.

DATA SOURCES

Journal articles, research reports, state of the science papers, and clinical guidelines.

CONCLUSION

Minimally invasive cancer surgery is an important and integral component of the comprehensive care of cancer patients. Current evidence suggests that minimally invasive procedures confer equivalent and potentially superior advantage in select surgical outcomes without compromising oncologic outcomes. There is a paucity of evidence for the impact of minimally invasive procedures on functional outcomes and quality of life.

IMPLICATIONS FOR NURSING PRACTICE

Perioperative nursing care in minimally invasive cancer surgery should focus on preparing patients and families for shorter hospital stay, with continued support for postoperative recovery following discharge.

摘要

目的

回顾目前关于微创机器人辅助癌症手术(胸科、胃肠、妇科、泌尿生殖科)对手术结果和生活质量影响的证据。

数据来源

期刊文章、研究报告、科学现状论文和临床指南。

结论

微创癌症手术是癌症患者综合护理的重要组成部分。目前的证据表明,微创手术在特定手术结果方面具有同等且可能更优的优势,同时不影响肿瘤学结果。关于微创手术对功能结果和生活质量影响的证据不足。

对护理实践的启示

微创癌症手术的围手术期护理应侧重于让患者及其家属为缩短住院时间做好准备,并在出院后持续支持术后恢复。

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