Iwo anoshanda madhipatimendi uye mashandiro eiyo linear yekucheka stapler
Kunze kwechipfuva: splenectomy, lobectomy;
Gynecology: ovarian uye accessory excision;
General: gastric volume kuderedzwa, subtotal gastrectomy, pancreatectomy (resection yepancreatic pedicle), hepatectomy (kubviswa kwechiropa pedicle);
Urology: nephrectomy (kubvisa renal pedicle), vasculature, rectotomy, cholecystectomy, tissue dissection, excision uye anastomosis mukuvhiya pachena.
Zvakanakira mutsara wekucheka stapler
1. Zviri nyore:
Iyo mbambo yezvipikiri yakatetepa uye yakamisikidzwa kune mbambo yembambo, iyo inogona kuwanikwa kubva munzvimbo yakamanikana kwazvo pasi petishu;
Chipikiri bhini rine musoro wakabatana dhizaini, 0 °, 30 °, 45 ° matatu kutenderera angles, maviri-nzira kutenderera, nyore kushanda;
Hapana kukuvadzwa kwekutanga-kubata simba, inogona kushandiswa seyakawanda-chinangwa, sekubata pliers;
Chimbo chine zvakasiyana-siyana zvembambo yembambo, kusangana nezvinodiwa zvenzvimbo dzakasiyana dzekuvhiya, kuderedza kuoma kwekushanda, kuderedza mari yekuvhiya.
2. Kuchinjika:
Yakasiyana matishu, ukobvu hwakasiyana, sarudza akasiyana mbambo bhini, suture tishu ukobvu siyana 0.7-2.0mm;
Mabhangi ezvipikiri akasiyana anosarudzwa kune zvikamu zvakasiyana zvetishu imwechete kuderedza mutengo wekuvhiya.
3. Kuvimbika
6 mitsetse yezvipikiri zvekusona inoburitswa kana ichipfura, uye banga rekucheka rinochekwa kubva nepakati kuti ripe vimbiso yakachengeteka yetishu suture.
Kureba kwemitsara mitatu ye unilateral suture misumari yakasiyana zvakanyanya (danho rekugadzira), iyo hemostasis yemupendero wekucheka iri nani, uye kugovera kweropa kwesuture tissue kuri nani.
Kushandiswa kwega kwega kwebhini nyowani nyowani, zvinoenderana nemusimboti wekuti hapana bundu;
Paunenge uchipfura, blade yekucheka inofamba kubva kumagumo ekupedzisira kusvika kumagumo ekupedzisira, uye inovhara paunenge uchicheka uchisonera matishu kuti uone kuti mutsara wega wega wekusona unoumbwa nehupamhi hwakafanana.
Zvakashata zvekusona zvechivanhu zvemanyorero
1. Manual kushanda kwakaoma kana chikamu chakadzika;
2. Kushanda suture yakaoma, nguva yakareba yekushanda, kubuda ropa kwakanyanya, nguva yakareba yeanesthesia, kuwedzera njodzi dzekuchengeteka;
3. Zvishandiso zvinoshandiswa mune zvechinyakare bhuku suturing hazvisi kuraswa uye zvine njodzi yehutachiona hwemuchinjikwa;
4, kudonha kuri nyore, uye haigone kuyambuka yakadzokororwa suture.
Linear yekucheka staplers uye zvikamu zveanoraswa endoscopy zvinoshandiswa pakubvisa tishu, transection uye anastomosis mukuvhiya kwakavhurika uye endoscopic kuvhiyiwa.
Nguva yekutumira: Aug-26-2022
