Abstract:

To summarize the perioperative nursing care in 32 cases of pancreatic cancer undergoing radical surgery combined with intestinal autotransplantation. Key points：to set up a multidisciplinary surgical team and create surgical emergency plans；to well prepare equipment，supplies，and environment；to utilize node control concepts to control operation safety；to carry out the clustered surgical infection management and phased implementation of isolation technology；to prevent and control the inadvertent perioperative hypothermia；organ irrigation，repair and preservation；to prevent the complication. After above precise surgical cooperation and meticulous care，all operations were implemented successfully，and patients were transferred to the intensive care unit for further treatment safely.

Key words: Organ Transplantation, Small Bowel, Pancreaticoduodenectomy, Pancreatic Neoplasms, Perioperative Nursing

摘要：

总结32例胰腺癌根治手术联合自体小肠移植的护理配合。护理要点：组建多学科手术团队，制订手术应急预案；做好设备、物品和环境的准备；利用节点控制理念对手术安全进行管控；集束化的感染防控措施及分段式的隔离技术；围手术期非计划性低体温的防控；小肠灌洗、修整与低温保存；并发症的预防。经过精准手术配合和精心护理，所有患者均顺利完成手术，安全转移至重症监护病房行进一步治疗。

关键词: 器官移植, 小肠, 胰十二指肠切除术, 胰腺肿瘤, 围手术期护理