Mphunzitsi wa Laparoscopickumawonjezera luso la opaleshoni
Gwiritsani ntchito mphunzitsi wosavuta wa laparoscopic pophunzitsa ntchito zoyambira pansi pa maikulosikopu
Kuyesera kophunzitsira kumeneku makamaka kumalimbana ndi magulu awiri a madokotala otsitsimula omwe adagwira nawo ntchito yopititsa patsogolo madokotala ku Province la Shaanxi mu dipatimenti yathu kuyambira 2013 mpaka 2014. onse ali ndi zochitika zina za opaleshoni ya laparoscopic.Anthu okwana 32, 16 mwa iwo (osankhidwa ngati gulu A) adalandira maphunziro a opaleshoni ya laparoscopic maola a 2 tsiku lililonse kwa miyezi iwiri kuphatikizapo ntchito zachipatala za tsiku ndi tsiku.Ena 16 (gulu B) adatsatira mwachindunji aphunzitsi omwe adatsagana nawo kuti achite maopaleshoni osiyanasiyana tsiku lililonse, kuphatikiza opaleshoni ya laparoscopic.Wophunzitsa anagwiritsa ntchito nthawiyi ndi mphunzitsi wosavuta wa laparoscopic, kuphatikizapo chassis, kamera yotsitsimutsa ndi yotsogolera, kuwonetsera ndi zida za laparoscopic.
Ma tempulo osiyanasiyana atha kuikidwa m'bokosi la ophunzitsa kuti amalize maphunziro oyambira oyambira:
(1) kutola soya pansi pa galasi: nyemba za soya zodzaza dzanja ndi botolo laling'ono la pakamwa zimayikidwa pansi pa bokosi lophunzitsira, ndipo soya amalowetsedwa mu botolo laling'ono lapakamwa limodzi ndi dzanja lamanzere ndi lamanja. kugwira ma pliers kuti muphunzitse luso lolunjika komanso lolondola.
(2) Kulumikizana kwa mtsempha wamagazi: konzani chubu cha pulasitiki chopangira pansi pa mbale ya pansi, gwirani ulusi ndi manja onse awiri, perekani ulusi ndikumanga mfundo, ndikuphunzitsani kayendetsedwe ka kayendetsedwe kake kakugwira chida ndi manja onse awiri.
(3) Suturing pansi pa maikulosikopu: yokumba khungu incision amaikidwa pansi mbale ndi sutured ndi knotted pansi pa maikulosikopu, amene ali oyenera kwambiri zofunika suturing opaleshoni pansi pa maikulosikopu.Mitundu itatu ya maphunziro oyambira ntchito ndi zolimbitsa thupi zopita patsogolo.Gawo lachiwiri la maphunziro opangira chotengera cholumikizira amatha kuchitika pokhapokha manja onse atanyamula soya mosinthana kwa 20 / min.Maphunziro a suture atha kuchitidwa pambuyo popanga mfundo 5 nthawi / mphindi pansi pa microscope.Kudula kumafunika 3 stitches, knotting ndi kudula ulusi kuti kumalizike mkati mwa mphindi 10.Pambuyo pa maphunziro osadodometsedwa tsiku lililonse, ophunzitsidwa amatha kukwaniritsa zomwe zili pamwambazi mkati mwa mwezi umodzi.
Pomaliza, omwe apambana mayesowo adzakonzedwa kuti agwiritse ntchito nyama yoyesera (kalulu).Pambuyo pa opaleshoni, khoma la m'mimba la kalulu lidzadulidwa ndikukhazikika pa benchi yoyesera:
(1) Onetsani chubu cha matumbo, dulani chubu la matumbo pansi pa maikulosikopu wamba ndikumanga chubu chamatumbo mosalekeza.
(2) Dulani kapisozi wa aimpso ndi lateral peritoneum, ligate iwiri ndikudula mtsempha wa aimpso ndi mitsempha, ndikumaliza nephrectomy.Kudzera muzochita zomwe zili pamwambapa, cholinga chophunzitsira luso la opareshoni monga momwe anatomy, kulekanitsa, kudula, knotting ndi suture pansi pa endoscope.
Nthawi yotumiza: Jun-03-2022
