Kudzidziswa pane hunyanzvi hwekushanda hwesimulation kudzidzisa bhokisi
Kudzidzira kuedza kwemhuka
Mushure mekuziva hunyanzvi hwekuita basa reakasiyana laparoscopic mashandiro mubhokisi rekudzidziswa, kuyedza kwekuita kwemhuka kunogona kuitwa.Chinangwa chikuru ndechekuziva hunyanzvi hwekutanga hwepneumoperitoneum kumisikidzwa, kupatsanurwa kwematishu, kuratidzwa, ligation, suture uye hemostasis;Ziva mashandisirwo ezviridzwa zvakasiyana-siyana mu vivo uye kushanda kwenhengo dzakasiyana mu vivo;Kuwedzera kusimbisa kushanda kwekushandira pamwe pakati pemushandisi nemubatsiri.
Kazhinji, mhuka huru dzakadai senguruve kana imbwa dzinosarudzwa.Kutanga, varwere vakanga vanzi anesthetized ne intraperitoneal jekiseni, ipapo ganda rakagadzirirwa, nzira ye venous yakasimbiswa, uye anesthesiologist akapa endotracheal intubation inhalation anesthesia, uye ipapo nzvimbo yemuviri yakagadziriswa.
Kazhinji tora supine chinzvimbo.
Dzidzira puncture uye incision kuti ugadzire pneumoperitoneum
Mushure mokunge pneumoperitoneum yaumbwa, yekutanga ndiyo kudzidziswa kwenhengo dzedumbu uye kutaridzika kwekuzivikanwa.Kusimbisa nzvimbo yezvikamu zvakasiyana-siyana zvemukati pasi pe laparoscopy pane chekucherechedza inhanho inokosha mukushandiswa kwekuvhiyiwa.Izvi hazvina kuomera vanachiremba vane ruzivo rweanatomical uye kuvhiyiwa kwakajairwa, asi mifananidzo inowanikwa kuburikidza neTV yekutarisa sisitimu yakaenzana neiyo inoonekwa ne monocular vision uye isina matatu-dimensional pfungwa, saka zviri nyore kuita zvikanganiso mukutonga kure. , iyo ichiri kuda kumwe kudzidziswa kwekugadzirisa mukuita.Muchiitiko chose chekuvhiyiwa kwelaparoscopic, zvakakosha zvikuru kuti mubatsiri akabata girazi kuti ave nechokwadi chekutungamira kwenzvimbo yekuvhiya yekuona, kana zvisina kudaro zvinotungamirira kukutongwa kusina kururama kweanofambisa.Zvadaro, dzidzira kupinza mamwe cannulas nerubatsiro rwelaparoscopy.
Dzidzira laparoscopic ureterotomy uye suture, laparoscopic nephrectomy uye laparoscopic partial cystectomy sezvinodiwa.Hemostatic tekinoroji dzinofanirwa kuve chinangwa chekudzidziswa.Muchikamu chekupedzisira chekuvhiyiwa, tsinga dzeropa dzinogona kukuvadzwa nemaune uye nzira dzakasiyana-siyana dzehemostatic dzinogona kuitwa.
Kudzidza kwekiriniki
Mushure mekupasa kudzidziswa kwebhokisi rekudzidzira rekufananidza riri pamusoro uye kuedza kwemhuka, vadzidzisi vanonyatsoziva zviridzwa zvakasiyana-siyana zvekuvhiya kwelaparoscopic uye kugona hunyanzvi hwekuita basa rekuvhiya kwelaparoscopic.Nhanho inotevera ndeyekupinda muchikamu chekudzidza kwekiriniki.Vadzidzi vanozorongerwa kushanyira marudzi ese ekuvhiya kweurological laparoscopic uye kujairana nenzvimbo yakakosha yemuviri uye nzira yekuvhiyiwa kweurological laparoscopic.Akabva aenda pachikuva kuti abate girazi kuti vane ruzivo laparoscopic vanovhiya, zvishoma nezvishoma kuchinja kuti kukwanisa kushanda pamwe oparesheni zvakanaka, uye akatanga kupedza zviri nyore laparoscopic oparesheni pasi kutungamirirwa vanachiremba vakuru, akadai laparoscopic spermatic tsinga ligation.
Nguva yekutumira: May-20-2022
