完全无管化机器人辅助与电视胸腔镜下纵隔肿瘤切除术的效果分析及护理对策（附手术视频）
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中图分类号 R734.5 R473.6 文献标识码 A 文章编号 2096-7721（2025）08-1414-05
Outcome comparison and nursing strategies for fully tubeless robot-assisted versus video-assisted thoracoscopic mediastinal tumor resection （with surgical video）
WANG Weixin， ZHAO Yanping，WU Qiong， CHENG Ming，WANG Shiqi （Department of Thoracic Surgery，General Hospital of Northern Theater Command，Shenyang 11Oo16，China）
AbstractObjective：Tocompare perioperativeoutcomsandnusingstrategiesbetweenfullytubelessrobot-asistedandvidesiste thoracoscopicsurgery（VATS）formediastinaltumorresetion.Methods：157patientshounderwent mediastinaltmorresectionatthe General Hospital of Northern Theater Command from January 2O21 to April2O23 weredivided into the study group （ n= 76， receiving fully tubelessrobotassistedurgeryandeotroloup（n=81eivingVA）accdingtosugicalaproach.Comparsosde betwenthetwo groupsregarding preand post-nursing intervention Self-rating Anxiety Scale （SAS）andSelf-ratingDepresion Scale （SDS）scores，topeatieVisualalogeale（VA）ors，engthofintesiveareitIU）taengthofospitalat bodytemperaturewitin3daysaftersurgeryuethralpain，uriaryretention，dagetubedration，paryngealpain，andoe. Results：ComparisonofSASandSDSscoresbetweenthetwo groups before nursing interventionshowed no statisticallsignificant difference （ P >0.05）.After nursing intervention，both groups showed reductions in SASandSDS scores，whilethe study group had significantly lower scores than the control group （P<0.05） .Comparison of the highest body temperature within 3 days postoperatively showed no statistically significant difference （P>0.05 ）. Compared with the control group，the study group showed superior outcomes in painscores，ellaebehiyeala，gthfivere length of hospital stay （P<0.05 ）. Conclusion： The study confirmed the eficacy of fully tubeless robot-asisted mediastinal tumor resection inregard to faster postoperative recovery and advantages in perioperative nursing care.
KeywordsRobotaistedSurgery;ullTubeless;Vido-assistedToacooicSurgery;MedstialTuor;Peroperatieursing Care
临床传统治疗纵隔肿瘤的方式主要是正中胸骨切开术，近些年随着微创外科技术的发展，正中胸骨切开术因创伤大及患者术后恢复周期较长等缺点，已逐渐被胸腔镜手术取代。（剩余8343字）