Nursing Care In Patients Underwent Laparoscopic Colectomy

Abstract

Colorectal carcinoma  is the third most common carcinoma and  the fourth cancer death. The incidence of the carcinoma in Thailand is increasing due to the change of food to be high fat and low fiber. Surgery is the main treatment to cure the carcinoma. The  open  colectomy procedure has changed to be laparoscopic colectomy and specialized nurses are important for the treatment.  Nursing care in preoperative, intraoperative and postoperative period are important.

Purpose : To develop a nursing care process for patients underwent laparoscopic colectomy.     

Method : The study focus group was purposive sampling from colorectal cancer patients underwent laparoscopic colectomy between January to October 2020.

Result : There were 2 patients in this study. The first case underwent laparoscopic low anterior resection with gut obstruction following the operation. The second patient underwent laparoscopic sigmoidectomy without postoperative complication.Both patients had laparoscopic colectomy that is a complicated procedure. scrub nurses have to be familiar with equipment preparation, scrub in and maintenance the equipment.

Conclusion : Clinical Nursing Practice Guideline ( CNPG ) for nursing care of patient that undergo Laparoscopic colectomy