Trocar intorduction:
Tuvuze kubaga laparoskopi, abantu ntabwo bamenyereye, mubisanzwe 2-3 cm 1 ntoya ya cm 1 ikorerwa mumyanya yumurwayi, kandi intego nyamukuru ya trocar ya laparoscopique ikoreshwa mumagambo yo kubaga laparoskopi ni ukwinjira murukuta rwinda rwuzuye, gushiraho igice. hagati yisi yo hanze nu mwobo wo munda, kwemerera ibikoresho byo kubaga byinjira mu cyuho cyo mu nda binyuze mu ntoki za trocar, bikarangiza inzira yo kubaga kandi bigera ku ntego imwe yo kubaga gakondo.
Trocar ikoreshwa na laparoskopi trocar igizwe nintoki ya pucure hamwe nintoki.Igikorwa nyamukuru cyimyanya ndangagitsina ni ukwinjira mu rukuta rwose rw'inda hamwe n'ikiboko cya trocar, ugasiga urutoki.
urukuta rw'inda.Igikorwa nyamukuru cya kanseri yamenetse ni ukwemerera ibikoresho bitandukanye byo kubaga kunyura mu cyuho cyinda, kugirango umuganga abashe kubaga no kurangiza imirimo yo kubaga.
Muhinduzi ukurikira azagutwara kugirango umenye byinshi kubiranga nibyiza bya laparoskopi trocars ikoreshwa.
Gutandukanya impande zombi gutandukanya intangiriro yumutwe wanyuma
Nk’uko isesengura ry’ibarurishamibare ryakozwe muri raporo ribigaragaza, ingorane nyinshi zo mu mwobo ziterwa no kwandura, kuva amaraso, gutobora umwobo hernia no kwangirika kw'imitsi.Reba imbonerahamwe ikurikira:
Imbonerahamwe 1 Isesengura ryibitera ingorane mu mwobo wacitse nyuma yo kubagwa laparoskopi
| umushinga | Ibyangiritse | Amaraso | Wanduye | Hernia | yose hamwe |
| Guhitamo ibice bidakwiye | 1 | 2 | 5 | 0 | 8 |
| Kuruhura imitsi yo munda bidahagije | 2 | 1 | 0 | 0 | 3 |
| Guhuma buhumyi kubikorwa bya kabiri | 2 | 0 | 0 | 0 | 2 |
| Kwanduza | 0 | 0 | 12 | 0 | 12 |
| Ntabwo idoze neza | 0 | 1 | 3 | 3 | 7 |
| yose hamwe | 5 | 7 | 20 | 3 | 35 |
Imbonerahamwe 2 Isano iri hagati yikibazo cyo gutobora nu mwobo wa diameter nyuma yo kubagwa laparoskopi
| umushinga | Aperture 5mm | Aperture 11-15mm | Aperture> 15mm |
| ibyangiritse | 0 | 5 | 0 |
| Amaraso | 0 | 7 | 0 |
| Wanduye | 1 | 17 | 2 |
| hernia | 0 | 3 | 0 |
| yose hamwe | 1 | 32 | 2 |
Umutwe wibanze wa laparoscopic trocar ikoreshwa neza kandi irafashwe.Uburyo bwo gutandukana bweruye nta cyuma bukoreshwa mugutandukanya ingirangingo aho guca ingirangingo.Iyo trocar yinjiye mu rukuta rw'inda, intoki ya puncture isunika ingirangingo n'imitsi y'amaraso kure ya fibre.Gabanya kwangirika kurukuta rwinda nimiyoboro yamaraso.Ugereranije na trocar hamwe nicyuma, igabanya kwangirika kwa fassiya hafi 40% kandi igabanya imiterere ya penture de hernia irenga 80%.Binyuze muri endoskopi, inzira yose yo gutobora urukuta rw'inda irashobora kugenzurwa mu buryo butaziguye kugira ngo birinde kwangirika kw'inda zo mu nda Birashobora kandi gutakaza igihe cyo gukora no kugabanya ububabare bwo kubaga.
Igihe cyo kohereza: Ugushyingo-17-2021
