Nyamuneka soma igitabo cyamabwiriza witonze mbere yo gushiraho no gukoresha iki gicuruzwa.
Izina ryibicuruzwa, icyitegererezo, imbonerahamwe yerekana umurongo wa endoskopi
Imbonerahamwe 1: Ibipimo byibanze bya endoscope umurongo ugabanya stapler Igice: mm
icyitegererezo | Ibisobanuro | Uburebure L3 | kwihanganira |
P-ED12- | S | 60 | ± 2.0 |
C | 155 | ||
L | 240 |
Imbonerahamwe 2: Ibipimo fatizo byo gukata ibice: Igice: mm
Ingano yerekana | Ibisobanuro | L2 | Ubworoherane | L1 | Ubworoherane | |
S | R | |||||
P-CC- | 30 | 167 | 200 | ± 2.0 | 29 | ± 2.0 |
45 | 183 | 216 | 45 | |||
60 | 199 | 235 | 61 |
Imbonerahamwe 3: Ibipimo fatizo byingenzi: Igice: mm
Uburebure bwibanze Ibara ryinshi | Umubare winkingi | Cyera (W) | Ubururu (B) | Icyatsi (G) | Icyatsi (H) | Brown (T) | Umutuku (P) | Umukara (N) | Ubworoherane |
Uhereye imbere | umurongo wa mbere | 2.5mm | 3.5mm | 4.8mm | 2.0mm | 2.0mm | 3.0mm | 4.0mm | ± 0.2 |
urutonde rwa kabiri | 2.5mm | 3.5mm | 4.8mm | 2.0mm | 2.5mm | 3.5mm | 4.5mm | ± 0.2 | |
Inkingi ya gatatu | 2.5mm | 3.5mm | 4.8mm | 2.0mm | 3.0mm | 4.0mm | 5.0mm | ± 0.2 |
II.Endoscopic umurongo ugabanya stapler imikorere:
Intoki n'umubiri bya endoscope umurongo ukata stapler birashobora kwihanganira imbaraga zo gukurura zitari munsi ya 98N zitavunitse, kandi uburyo bwa occlusal (jaw) bwakozwe nintebe yimisumari hamwe na karitsiye ya staple bigomba kugira imbaraga zo kuruma zitari munsi ya 30N;gukata stapler Kandi ibice bigomba kuba bishobora guteranyirizwa hamwe no gusenywa neza, kandi ibice byimuka bigomba gusunikwa byoroshye bitarinze kuvanga cyangwa kurekura.Inteko yo gukata igomba kuba ikomeye nyuma yo gushyirwaho mugukata.Ibyingenzi bigomba kuba bihamye mugihe byashyizwe mu nteko yo gutema, kandi ntibigomba kugwa nyuma yo kunyeganyezwa.Gusunika buto ya endoscope umurongo ugabanya stapler hamwe ninteko yo gukata bigomba gusunikwa byoroshye kumpande zombi, kandi gukoresha bigomba kuba bifite umutekano.Gusubiramo ikiganza cyimukanwa bigomba guhinduka bihagije kugirango bigaruke vuba mugihe ikiganza kirekuwe.Imiterere ihuriweho na R-endoscope umurongo ukata stapler igomba guhinduka kandi ntakumirwa.Inguni y’ibumoso n’iburyo ntigomba kuba munsi ya dogere 45, kandi kurasa ntibigomba kubaho.Guhagarika, gukuramo umutwe wogukata bigomba kuba bitabujijwe, kandi gukora imisumari ya suture ntabwo bigira ingaruka kumpande ya swing.
III.Imiterere nyamukuru igizwe na endoskopi yumurongo ukata stapler:
Ikoreshwa rya endoskopi yumurongo ugabanya umurongo hamwe nigice cyo gukata kigizwe nigice cyo gukata hamwe no gutema.Igice cyo gukata kigizwe na karitsiye yingenzi, umusumari wa anastomotike, intebe nyamukuru, icyuma gikata, icyuma gisunika hanze, hamwe nigifuniko gikingira.Igikoresho cyo gukata Igizwe ninkoni yohereza, amaboko, umugozi, icyuma, icyuma cyo kurasa, icyuma gisunika, icyimuka cyimukanwa hamwe nigitoki gihamye.
Igihe cyo kohereza: Ukwakira-29-2021