Abstract: Objective To investigate comprehension of surgical nursing cooperation in the 12 cases of total laparoscopic duodenum-preserving pancreatic head resection. Methods Through preoperative nursing assessment for the 12 cases of total laparoscopic duodenum-preserving pancreatic head resection, we summarized preparation content of relative instruments, equipment and items, and key procedures of adept coordination between touring nurses and instrument nurses. Results Through close coordination of the medical team, all of the 12 cases completed successfully, none of them turned to laparotomy. Conclusion In order to complete the operation successfully, it is important and helpful to conduct specialized management on operation room nurses, optimize operation coordination team and standardize nursing cooperation in operations, with adequate preoperative preparation of instruments and professional experience.

Key words: duodenum-preserving pancreatic head resection, laparoscope, operation coordination

摘要： 目的 探讨12例完全腹腔镜下保留十二指肠胰头切除术（DPPHR）的手术护理配合体会。方法 通过对12例完全腹腔镜下保留十二指肠的全胰头切除术的术前护理评估，总结分析术前患者、仪器设备及器械物品的准备内容，和术中巡回护士、器械护士的娴熟配合的操作要点。结果 通过医护团队默契紧密配合，12例完全腹腔镜下DPPHR顺利完成，无1例中转开腹。结论 认为实行手术室护士专科化管理，优化手术配合团队，实施手术标准化护理配合、充足的术前物品准备和丰富的专科经验能够帮助手术无缝衔接且流畅地开展，对手术成功实施至关重要。

关键词: 保留十二指肠胰头切除术, 腹腔镜, 手术配合