Laparoscopic mudzidzisiinovandudza unyanzvi hwekuvhiya
Shandisa iri nyore laparoscopic kudzidzisa kwekutanga kudzidzira kushanda pasi pemaikorosikopu
Kuedza kwekudzidzisa uku kunonyanya kuitirwa mapoka maviri evanachiremba vanovandudza avo vakapinda mukirasi yekuvandudza yekuenda kune vanachiremba muShaanxi Province mubazi redu kubva 2013 kusvika 2014. Vanachiremba vose vari kuenda kune vanachiremba vekuvhiyiwa kwekliniki muzvipatara zvesekondari vane ruzivo rwekushanda, uye vose vane ruzivo rwakati mukuvhiyiwa kwelaparoscopic.Huwandu hwevanhu makumi matatu nevaviri, 16 vavo (vakasarudzwa seboka A) vakagamuchira 2-awa laparoscopic kudzidziswa kweanodzidzisa oparesheni zuva rega rega kwemwedzi ye2 kuwedzera kune yezuva nezuva basa rekiriniki.Imwe 16 (boka B) yakatevera zvakananga vadzidzisi vaiperekedza kuti vaite maoparesheni akasiyana-siyana zuva rega rega, kusanganisira kuvhiyiwa kwelaparoscopic.Mudzidzisi akashandisa nguva ino iri nyore laparoscopic mudzidzisi, kusanganisira chassis, retractable uye inotungamira kamera, kuratidza uye laparoscopic zviridzwa.
Matemplate akasiyana anogona kuiswa mubhokisi remurairidzi kuti apedze anotevera ekutanga kudzidzira kudzidzira:
(1) kunhonga soya bhinzi pasi pegirazi: tsama yesoya beans nekabhodhoro kadiki-diki kanoiswa pandiro yepasi pebhokisi rekudzidzira, uye soya bhinzi inotakurwa mubhodhoro rakatetepa remukanwa rimwe nerimwe rine ruoko rweruboshwe nerudyi. kubata pliers kudzidzisa kwakaringana nzvimbo uye hunyanzvi hwekuita.
(2) Artificial blood vessel ligation: gadzirisa artificial plastic chubhu pandiro yepasi, bata shinda nemaoko maviri, pfuudza shinda uye sunga pfundo, uye dzidzisa kufamba kurongeka kwekubata chombo nemaoko maviri.
(3) Suturing pasi pemaikorosikopu: artificial skin incision inoiswa pandiro yepasi uye yakashongedzwa uye yakasungwa pasi pemaikorosikopu, iyo inokodzera kuvhiyiwa kwakanyanya kwesuturing pasi pemaikorosikopu.Idzo mhando nhatu dzekutanga kudzidzira kuvhiya maekisesaizi anofambira mberi.Yechipiri nhanho yeartificial mudziyo ligation kudzidziswa inogona kuitwa chete kana maoko ese achitora soya beans alternately for 20 / min.Suture kudzidziswa inogona chete kuitwa mushure mekugogodza kwe5 nguva / min pasi pe microscope.Iyo suture inoda 3 stitches, knotting uye kucheka shinda kuti ipedzwe mukati memaminitsi gumi.Mushure mekudzidziswa kwezuva nezuva kusingakanganisike, vadzidzisi vanogona kuita zvinodiwa pamusoro apa mukati memwedzi mumwe chete.
Pakupedzisira, avo vanokunda bvunzo vacharongerwa kushandisa mhuka yekuyedza (tsuro).Mushure meanesthesia, madziro emimba yetsuro achachekwa uye akaiswa pabhenji rekuedza:
(1) Ratidza intestinal chubhu, cheka intestinal chubhu pasi peyakajairika maikorosikopu uye suture intestinal chubhu nguva dzose.
(2) Cheka renal capsule uye lateral peritoneum, kaviri ligate uye cheka renal tsinga uye tsinga, uye kupedza nephrectomy.Kuburikidza nezviitwa zviri pamusoro, chinangwa chekudzidzisa hunyanzvi hwekushanda senge anatomy, kupatsanura, kucheka, knotting uye suture pasi pe endoscope inogona kuwanikwa.
Nguva yekutumira: Jun-03-2022
