Linear cutting stapler no nā hiʻohiʻona o ka endoscope

ʻO nā keʻena kūpono a me nā hana o ka linear cutting stapler

Ma waho o ka umauma: splenectomy, lobectomy;

Gynecology: ovarian a me nā mea kōkua excision;

ʻO ka maʻamau: hoʻemi ʻia ka nui o ka ʻōpū, subtotal gastrectomy, pancreatectomy (ka wehe ʻana o ka pedicle pancreatic), hepatectomy (ka wehe ʻana o ka pedicle ate);

Urology: nephrectomy (ka wehe ʻana o ka pedicle renal), vasculature, rectotomy, cholecystectomy, dissection tissue, excision a me anastomosis i ka wehe ʻana.

Nā pōmaikaʻi o ka stapler ʻoki laina

1. Ka maʻalahi:

He lahilahi ka poloka kui a paʻa i ka hale nail bin, hiki ke loaʻa mai kahi haiki loa ma lalo o ke kiko;

Nail bin me ka hoʻolālā poʻo hui, 0°, 30°, 45° ʻekolu ʻāpana ʻokiʻoki, ʻelua ʻaoʻao hoʻololi, hana maʻalahi;

ʻAʻohe pōʻino ma mua o ka paʻa ʻana i ka ikaika, hiki ke hoʻohana ʻia ma ke ʻano he nui, e like me ka hopu ʻana i nā wili;

ʻO kahi mea hana me nā ʻano nail bin, e hoʻokō i nā pono o nā wahi ʻokiʻoki like ʻole, e hoʻemi i ka paʻakikī o ka hana, e hoʻemi i ke kumukūʻai o ke ʻoki.

2. Hoʻololi:

ʻOkoʻa ʻiʻo, ʻokoʻa mānoanoa, koho ʻokoʻa nail bin, suture kiko mānoanoa laulā o 0.7-2.0mm;

Ua koho ʻia nā ʻāpana kui like ʻole no nā ʻāpana like ʻole o ka ʻiʻo hoʻokahi e hōʻemi i ke kumukūʻai o ke ʻoki.

3. Pono

Hoʻokuʻu ʻia nā lālani 6 o nā kui humuhumu ʻia i ka wā e kī ana, a ʻoki ʻia ka pahi ʻoki mai ka waena mai e hāʻawi i ka hōʻoia palekana loa no ka hiku o ka ʻiʻo.

ʻOi aku ka ʻokoʻa o ke kiʻekiʻe o nā lālani ʻekolu o nā kui kuʻi unilateral (step design), ʻoi aku ka maikaʻi o ka hemostasis o ka ʻaoʻao incision, a ʻoi aku ka maikaʻi o ke koko o ka ʻiʻo suture.

ʻO kēlā me kēia hoʻohana ʻana i kahi bin nail hou loa, e like me ke kumu o ka ʻole tumor;

I ke kī ʻana, neʻe ka ʻoki ʻoki mai ka ʻaoʻao kokoke a hiki i ka ʻaoʻao mamao, a pani ʻia i ka wā e ʻoki ana i ka wā e humuhumu ana i ka ʻiʻo e hōʻoia i ka hana ʻana o kēlā me kēia lālani humuhumu humuhumu me ke kiʻekiʻe like.