关键词: 肺癌, 肺部手术, 肿瘤, 隔离技术, 专家共识, 手术室护理

Abstract:

Objective To form the expert consensus on surgical isolation techniques for lung malignancies.Methods By retrieving international and national literature and interviewing relevant personnel,we formulated the first draft of a consensus on surgical isolation techniques for lung malignancies and the enquiry form. Experts are selected nationwide to conduct a round of letter consultation and a round of on-site demonstration. The corresponding items were modified in accordance with the opinions of the experts,and the level of evidence and recommendation level were marked and then a final consensus was formed.Results A total of 18 thoracic surgery experts and nursing experts from tumor surgery rooms were selected;the expert authority coefficient was 0.87;expert importance of each item was 4.92±0.23;coefficient of variation was 0.09 to 0.16. The feasibility was 4.54±0.65;coefficient of variation was 0.12 to 0.19. Expert coordination coefficient was 0.249（P<0.001）. The consensus includes qualifications of operating room nurses,preoperative evaluation,surgical equipment and instruments,protection of incisions,surgical cavity exploration,management of device dressings,tumor resection,tumor removal,concurrent surgery and reconstruction surgery,use of irrigation fluid,and inventory. The above 11 aspects are applicable to traditional open surgery,small incision surgery and thoracoscopic surgery.Conclusion This consensus is based on the surgical isolation techniques for lung malignancies with detailed operating specifications for each aspect,which is easy for the surgical staff to implement and can guide clinical practice.

Key words: Lung Malignancies, Lung Surgery, Tumor, Isolation Technique, Expert Consensus, Operating Room Nursing Care