Nursing care of patient laparoscopic liver resection under general anesthesia: A case study

Abstract

Laparoscopic surgery is increasingly favored over open surgery due to its benefits, including smaller incision, reduced blood loss, less tissue trauma, decreased postoperative pain, faster recovery, lower rates of surgical site infection, shorter hospital stays, reduced healthcare cost, and fewer complications. Although liver resection is a major surgical procedure, it can be safely performed using minimally invasive laparoscopic techniques. Anesthetic management in patients with complex conditions and high surgical risk is essential. This case aims to contribute to and disseminate clinical knowledge.

Objective

1.To provide safe and effective nursing care for patients undergoing laparoscopic liver resection under general anesthesia, aiming to prevent avoidable complications.

2. To promote appropriate self-care abilities in patients undergoing laparoscopic liver resection under general anesthesia, both preoperatively and postoperatively.

Methodology

This Descriptive study involved of a patient undergoing laparoscopic liver resection under general anesthesia at Buddhasothorn Hospital. Data were collected from a single case over a 3-day period (May 1-3, 2025). Nursing data were obtained from medical records and patient interviews. The nursing process was applied in three phases: pre-anesthesia care, intra-anesthesia care and post-anesthesia care.

 Results

The patient undergoing laparoscopic liver resection under general anesthesia received appropriate nursing care, experienced no complications, and demonstrated the ability to perform appropriate self-care both before and after anesthesia.

Summary

 Laparoscopic liver resection under general anesthesia can be performed safely without complications. Surgical outcomes depend on thorough patient assessment, multidisciplinary teamwork, and appropriate anesthetic management, particularly in high-risk patients. Nurse Anesthetist should maintain up to date knowledge and skills to enhance the quality of care.