Iyo tuvuze ibijyanye no kubaga laparoskopi, ntabwo bidasanzwe, mubisanzwe na cm 2-3 1 zo kubagwa uduce duto kubarwayi bafite uburibwe, na ikoreshwa rya laparoscopique biopsy igikoresho cyo kubaga laparoskopi intego nyamukuru ni ukunyura mu rukuta rw'inda, hanze ndetse no mu cyuho cyo mu nda, reka ibikoresho byo kubaga binyuze mu mwenda wambaye imyenda ya puncture mu cyuho cy'inda, Kugira ngo urangize inzira yo kubaga kandi ugere ku ntego imwe yo kubaga gakondo.
Igikoresho gishobora gukoreshwa cyitwa laparoscopic puncture igizwe na kanncure ya kanseri hamwe nintangiriro.Inshingano nyamukuru yo gutobora ni ukwinjira mu rukuta rw'inda hamwe na kanseri y'urutoki hanyuma ugasiga urumogi rwacitse ku rukuta rw'inda.Igikorwa nyamukuru cyo gutobora urumogi ni ukureka ibikoresho bitandukanye byo kubaga byinjira mu cyuho cyinda, kugirango abaganga bashobore kubaga no kurangiza imirimo yo kubaga.
Gukoresha neza trocar
1. Gutandukanya impande zombi gutandukanya intangiriro yibice
Nk’uko isesengura ry’ibarurishamibare ryakozwe muri raporo ribigaragaza, ingorane nyinshi z’imyobo ziterwa no kwandura, kuva amaraso, gutobora umwobo hernia no kwangirika kw'imitsi, n'ibindi.
Ikoreshwa rya laparoscopique hamwe numutwe wimyanya yimyanya yumutwe ni conic igaragara neza, ntaburyo bwo gutandukanya icyuma budahwitse, ukoresheje ubundi buryo bwo gukata butandukanye, mugihe imyenda yo gutobora yinjira murukuta rwinda, hamwe na fibre kugeza tissue hamwe nuduce twimitsi y'amaraso kure, kwangirika gukabije kurukuta rw'inda n'amaraso. inzabya, kuruta imyenda yo gutobora inkota kugirango igabanye hafi 40% yimvune ya membrane kandi igabanye hejuru ya 80% yumwobo wacitse wa hernia, Binyuze muri endoskopi, inzira yose yo gutobora urukuta rwinda irashobora kugenzurwa muburyo butaziguye, birinda kwangirika kwa inyama zo munda, kuzigama igihe cyo gukora no kugabanya ububabare bwo kubaga.
2. Inyuma yo hanze yinyuma ya sheath tube
Urudodo rwo hanze rwifashishwa hejuru yigituba cyumuti wigikoresho cya laparoskopi yangiza kugirango wongere urukuta rwinda.Iyo intoki ya puncture ikuweho, imbaraga ziriyongera, kandi gutunganya urukuta rwinda birashobora kunozwa hafi 90%.
3. Gufungura 45 ° bevel kuri sheath tube end
Iherezo ryumuyoboro wicyuma cya laparoskopi yumutwaro wajugunywe wafunguwe hamwe na 45 ° ya bevel, kugirango byorohereze ingero kwinjira mumashanyarazi hanyuma hasigare umwanya wo gukora ibikoresho.
4. Icyitegererezo cyuzuye nibisobanuro
Ikoreshwa rya kabiri rya laparoscopic puncture igikoresho gifite ibisobanuro bitandukanye: diameter y'imbere 5.5mm, 10.5mm, 12.5mm, nibindi.
Igihe cyo kohereza: Nzeri-02-2022
