Abstract：
During minimally invasive surgery (MIS), surgeons create small and percutaneous incisions to access internal structures without open surgical incisions. Some MIS equipment is complex and challenging for perioperative nurses to manage. Patients also can experience life-threatening complications during MIS procedures. The updated AORN \"Guideline for minimally invasive surgery\" provides recommendations that perioperative nurses can use when caring for patients undergoing MIS procedures. This article provides an overview of the guideline and discusses several recommendations, including creating a safe environment in which to perform MIS procedures; using gas distension media, irrigation and fluid distension media, and computer-assisted navigation and robotics; and performing intraoperative magnetic resonance imaging in a hybrid OR. It also includes a scenario describing care of a patient undergoing a hysteroscopy. Perioperative nurses who care for patients undergoing MIS procedures should review the guideline in its entirety and apply the recommendations as applicable in their practice.
摘要：
在微创手术(MIS)期间，外科医生在没有开放手术切口的情况下创建小的经皮切口以进入内部结构。一些MIS设备对于围手术期护士的管理是复杂且具有挑战性的。患者在MIS过程中也可能经历危及生命的并发症。更新的AORN“微创手术指南”提供了围手术期护士在护理接受MIS手术的患者时可以使用的建议。本文概述了该指南，并讨论了一些建议，包括创建一个安全的环境来执行MIS程序；使用气体膨胀介质，灌溉和液体扩张介质，以及计算机辅助导航和机器人技术；并以混合OR进行术中磁共振成像。它还包括描述经历宫腔镜检查的患者的护理的场景。护理接受MIS手术的患者的围手术期护士应全面审查指南，并在其实践中应用适用的建议。
