Exploration of operating room nursing for patients undergoing minimally invasive laparoscopy combined with choledochoscopy for common bile duct stone removal surgery
微创腹腔镜联合胆道镜胆总管切开取石术患者的手术室护理探讨

摘要

目的 探讨手术室精细化护理干预在微创腹腔镜联合胆道镜胆总管切开取石术中的应用效果。方法 选取我院2024年8月-2025年8月收治的胆总管结石并行腹腔镜联合胆道镜胆总管切开取石术患者60例，按照随机数字表法分为对照组与观察组，每组各30例。对照组采用手术室常规护理模式，观察组在常规护理基础上实施全程精细化手术室护理。比较两组并发症发生率和手术及术后恢复指标。结果 相较对照组，观察组各类并发症合计发生概率明显下降；观察组手术时间、术中出血量、术后清醒时间、肛门排气时间、住院时间均显著优于对照组（P＜0.05）。结论 对微创腹腔镜联合胆道镜胆总管切开取石术患者实施规范化、精细化、个体化的手术室护理，可有效缩短手术时间，减少术中出血，降低术后并发症发生率，加速患者术后康复进程，值得在临床推广应用。

Abstract

Objective To explore the application effect of refined nursing intervention in minimally invasive laparoscopic combined with cholangioscopy for common bile duct stone removal surgery in the operating room.
Methods Sixty patients with common bile duct stones treated in our hospital from August 2024 to August 2025 who underwent laparoscopic combined with cholangioscopy for common bile duct stone extraction were selected. They were randomly divided into a control group and an observation group, with 30 patients in each group. The control group adopted the routine nursing mode in the operating room, while the observation group implemented full process refined operating room nursing on the basis of routine nursing. Compare the incidence of complications and surgical and postoperative recovery indicators between two groups.
Results Compared to the control group, the observation group showed a significant decrease in the total incidence of various complications; The observation group had significantly better surgical time, intraoperative blood loss, postoperative recovery time, anal exhaust time, and hospital stay than the control group (P<0.05).
Conclusion   Implementing standardized, refined, and individualized operating room nursing for patients undergoing minimally invasive laparoscopic combined with cholangioscopy for common bile duct stone removal surgery can effectively shorten the operation time, reduce intraoperative bleeding, lower the incidence of postoperative complications, and accelerate the patient's postoperative recovery process. It is worth promoting and applying in clinical practice.