위암 켿�이스스터디 (간호진단 4개, 간호과정)

*의학 진단명:
(주) stomach cancer early
(부) benign prostatic hyperplasia

*입원사유(History of present illness):
4/5 LMC(함양성심병원)에서 시행한 EGD (위 내시경) 상 reflux esophagitis, minimal chronic atrophic gastritis (C-Ⅱ), moderate gastric ulcer (u1) r/o AGC
외래를 통해 5/3 입원

*수술(동의서왿� 카덱스):
5/3 위 전 절제술/ 위이 절제술/ 쇄기절제술 동의서

*수술명: laparoscopy- assisted distal gastrectomy (복강경 보조 원위부 위절제술)

*수술 절차(뒷면이용)
1. Supine position: paravertebral nerve block for pain control
2. Skin preparation and draping as usual manuner
3. Subumbilical 12mm trocar was inserted with open method
4. Pneumoperitoneum
5. Other trocars were inserted: 4 hole
- Lt. paraumbilicus: 12mm
- Rt. paraumbilicus: 12mm
- Rt. subcostal: 5mm
- Lt. subcostal: 5mm
6. Peritoneal exploration
- solid organ abnormality: negative
7. partial omentectomy
8. stomach mobilization and LN dessection
- GC clearing
- Lt. Gastroepiploic A.V ligation
- Rt. Gastroepiploic A.V ligation
9. Duodenal division with GIA 60×1