Winer W K, Lyons T L
Southeastern Institute for Endoscopy With Lasers in Surgery, Atlanta, Georgia, USA.
J Am Assoc Gynecol Laparosc. 1995 Feb;2(2):231-4. doi: 10.1016/s1074-3804(05)80025-8.
Crucial elements that ensure the organization and smoothness of a laparoscopic procedure are clear communication among well-trained endoscopy team members, properly maintained equipment, and a sensible layout of the instruments. The team consists of the surgeon, surgical assistant, circulator, scrub nurse, laser nurse, and anesthesiologist. To promote continuity and interaction and to ensure a systematic, pleasant pace for laparoscopic procedures, the team should establish a specific routine, as well as set-up and layout of tables, equipment, and instruments. Key ingredients for advanced operative laparoscopy to be performed with optimum efficiency and effectiveness are the best organization and placement of the equipment, instrumentation, and team in a particular setting in the operating room.
确保腹腔镜手术的组织性和流畅性的关键要素包括训练有素的内镜团队成员之间的清晰沟通、妥善维护的设备以及合理的器械布局。该团队由外科医生、手术助手、巡回护士、洗手护士、激光护士和麻醉师组成。为促进连续性和互动,并确保腹腔镜手术有系统、适宜的节奏,团队应建立特定的流程,以及手术台、设备和器械的设置与布局。要以最佳效率和效果进行高级腹腔镜手术,关键要素是在手术室的特定环境中对设备、器械和团队进行最佳组织和安排。