摘要：目的 总结腹腔镜直肠癌根治术围术期的护理体会。方法 对2008年7月～2013年2月在柳州市柳铁中心医院普外科及昆明医科大学第二附属医院胃肠外科238例腹腔镜直肠癌根治术患者的围术期临床护理资料进行回顾性分析。结果 238例患者全部获得手术成功，无1例行中转开腹；无1例出现明显并发症，患者术后恢复良好。手术时间平均为286min；术中平均出血量160ml；患者疼痛时间减少，平均为36h，疼痛程度减轻，术后早期3d即可下床活动，恢复正常进食时间为5d，较开腹手术缩短，平均术后10d左右出院。随访18个月无复发转移。结论 通过加强围术期护理，减轻了患者痛苦，患者恢复快，有效缩短了住院天数。

    关键词：腹腔镜；直肠癌；手术；护理

    中图分类号：R473.73 文献标识码：A

    Abstract：Objective To summarize the perioperative nursing experience of paitients undergoing laparoscopic colorectal cancer resection. Methods Retrospective analysis of perioperative clinical nursing data in 238 patients undergoing laparoscopic colorectal cancer resection in General Surgery of Liuzhou Railway Central Hospital and Gastrointestinal Surgery of Second Affiliated Hospital of Kunming Medical University from July 2008 to February 2013. Results All of 238 cases of Laparoscopic colorectal cancer resection patients were successfully completed the surgery without significant complications ......