Abstract

To compare and assess the intraoperative and postoperative impact of different patient care coordination on 3D laparoscopic assisted total colectomy based on membrane anatomy and open surgery. A total of 48 patients registered for total colonectomy between January 1, 2016 and December 31, 2018, were enrolled to this study and assigned into two groups: 24 patients for the 3D laparoscopic assisted total colonic resection as test group and the other 24 for the open surgery as control group. Intraoperative bleeding volume, operation time, time of hospitalization, and postoperative complications were recorded for all the patients and compared between the two operation procedures.

Compared to the patients with open surgery procedure, patients of test group were detected with a slightly shorter operation time (P < 0.05). However, the surgery with 3D laparoscopy showed to be much more beneficial to the control group patients including significantly reduced intraoperative blood loss, significantly reduced postoperative complications, and significantly shorten the length of hospitalization (P < 0.05). 3D laparoscopic assisted total colectomy under the membrane anatomy shows several advantages as compared to open surgery. It facilitates a much clearer vision of surgery field, distinct view of anatomic structure and localized anatomic space, and relative surgery safety. Nurses in the operating room play an important role through close cooperation with the surgeon and improving the quality of intra-operative coordination from room layout, instrument set up and use to the position adjustment during surgery.