Igice cyahujwe nigice cyumufuka
Isakoshiigikoresho kigizwe n'inkoni hamwe n'umutwe wa suture, bigizwe na clamp ihamye hamwe na clamp yimuka itunganijwe kumpera.Clamp ihamye hamwe na clamp yimuka itangwa hamwe na pinhole kuruhande rwerekezo ndende.Igice cy'inkoni kigizwe n'inkoni yo gusunika, amaboko yo kugaburira hamwe n'ikiganza cyo hanze cyiziritse imbere kiva hanze kandi gishobora kugenda ugereranije.Impera imwe yo gusunika inkoni ihujwe no guhuza impera yimyenda yimuka kugirango igenzure igereranya ryimikorere ya clamp yimuka ugereranije na clamp ihamye.Impera imwe yintoki yo kugaburira ihujwe nu mpera ihuza clamping clamp kugirango igenzure ihinduka hagati yumwanya utambitse wa clamping kumurongo ugororotse hamwe nigice cyinkoni hamwe nu mwanya uhagaze wigice cyinkoni;Impera imwe yimyenda yinyuma izunguruka kandi ihujwe nu mpera ihuza clamp ihamye;Kandi guhuza impera ya clamp ihamye ni C-imiterere yimiterere, kandi iherezo ryimpera ya clamp yimuka itunganijwe muburyo bwa C kugirango ikore icyerekezo kibangikanye ugereranije na clamp ihamye.
Hamwe nogukomeza kunoza ikoranabuhanga ryo kubaga, kubaga laparoscopique byibasiye cyane bishingiye kumyanya yimbere yabantu bigenda bigaragara cyane.Laparoscopic esophagojejunal suture ni urugero rusanzwe.Esophagojejunal suture mubusanzwe ikorwa ifatanije na laparoscopic distal gastrectomy.Laparoscopic distal total gastrectomy ikoreshwa muburyo bukinguye bwo kuvura kanseri yo munda hakiri kare.Ariko rero, kugira ngo hamenyekane ubusugire bwa sisitemu yo gusya no kwinjiza nyuma yo kwangwa, hakenewe suture ya esophagojejunal kugirango anastomose iherezo rya esofagus kugeza kuri duodenum.
Hariho uburyo bubiri bwo kudoda kuri esophageal jejunum suture:
suture itaziguye.Suture itaziguye nuburyo gakondo bwo kudoda.Nyamara, ubushakashatsi bwerekanye ko abarwayi bakoresha ubu buryo bwo kudoda bafite umuvuduko mwinshi wanduye aho babaga mugihe runaka nyuma yo kubagwa, biherekejwe ningorane, mugihe udukapu twimigozi yimifuka dushobora kwirinda neza ikibazo nkiki, bityo kikazamurwa buhoro buhoro nkuko uburyo bugezweho bwo kudoda.
Nuburyo butagaragara cyane, isakoshi isaba imyobo itanu munda yumurwayi: umwobo wo hejuru, ibumoso bwo hepfo, umwobo wo hejuru, umwobo wo hepfo, nu mwobo wo munsi.Imyobo ibiri iburyo yateguwe na master surgeon.Imyobo ibiri ibumoso yagenewe abafasha.Kubera ko umurambararo wa gufungura ari muto, birasabwa ko igikoresho cyo kubaga kigomba kuba inkoni igororotse mu cyuho cy'inda.Kugirango ugere kumikorere ya clamping mugihe cyibikorwa, nibyiza mugihe clamp iba perpendicular kumurongo wigikoresho.
Igihe cyo kohereza: Mutarama-26-2022
