AORN J. 2020 Oct;112(4):353-365. doi: 10.1002/aorn.13180.
Chronic pancreatitis (CP) is an inflammatory disease of the pancreas that causes pain and gastrointestinal problems in patients. Robot-assisted total pancreatectomy with autologous islet cell transplantation (TPAIT) is a surgical procedure for treating patients with CP that has been unresponsive to other treatments. After performing a total pancreatectomy, the surgical team isolates islet cells and then infuses them into the patient's liver. To provide the best possible care for patients undergoing TPAIT, perioperative nurses should understand the physiological functions of the pancreas, the etiology of and treatment options for CP, and their role in coordinating care for this patient population. This article discusses the disease process for CP, reasons for choosing the robotic approach to TPAIT, preparation of the OR for the procedure, the role of the RN circulator during a robot-assisted TPAIT, and nursing management of the patient during the postoperative phase of care.
慢性胰腺炎（CP）是一种胰腺炎症性疾病，可导致患者出现疼痛和胃肠道问题。机器人辅助全胰切除术伴自体胰岛细胞移植（TPAIT）是一种治疗对其他治疗方法无反应的 CP 患者的手术。在进行全胰切除术后，手术团队分离胰岛细胞，然后将其注入患者的肝脏。为了为接受 TPAIT 的患者提供最佳护理，围手术期护士应了解胰腺的生理功能、CP 的病因和治疗选择，以及他们在协调此类患者群体护理方面的作用。本文讨论了 CP 的疾病过程、选择机器人辅助 TPAIT 的原因、手术室的准备、机器人辅助 TPAIT 期间 RN 巡回护士的作用，以及患者术后护理阶段的护理管理。
