E ncha ea Endoscopic stapler|Laparoscopic stapler

Sesebelisoa se secha sa Endoscopic stapler|Laparoscopic stapler Setšoantšo se Featured

Lahla endoscope linear seha stapler le likarolo
Hlooho ea lenonyeletso e ikamahanyang le maemo e ka sebetsoa ka letsoho le le leng
Lokolla konopo ho hula hlooho ka nako efe kapa efe
Cartridge ea mantlha e na le lintlha tse felletseng ho fihlela litlhoko tsa ho koaloa ha lisele tsa diffe
Sistimi ea taolo ea lekhalo la lintlha tse tharo ho netefatsa hore mofuta oa B o na le manala a phethahetseng
Moralo oa "cartridge" o nang le sebopeho sa "Gecko claw" o fokotsehile haholo ho etsa bonnete ba hore ho na le anastomosis e phethahetseng haholoanyane

likarolo tsa sehlahisoa:

CE e netefalitsoeng
Moqapi o lumellanang o netefatsa hore ho bonolo ho nkela sebaka.
Moralo oa holim'a grpping o fana ka ts'ebetso e ikhethang ea stapling.
Mefuta e mengata e ka khotsofatsa litlhoko tsohle tsa liopereishene tse fapaneng.
Lisebelisuoa tsa boemo ba bongaka li netefatsa hore ha ho na ho lahloa ha lisele.
Ho lumellana
Etsa kopo ho ECEHLON Series 60mm Stapler

potso bakeng sa pricelist

Kenyelletso ea sehlahisoa

Buka ea Tataiso

Sebopeho le sebopeho sa laparoscopic stapler:
Linear itšeha stapler le likarolo bakeng sa endoscope lahloa li entsoe ka 'mele le kopano.
'Mele o na le setulo sa lipekere, hlooho e kopanetsoeng, molamu, konopo e potolohang, paddle ea phetoho, konopo ea blade direction switch, fensetere ea letšoao la ho thunya, tataiso ea lehare ho fensetere ea letšoao, konopo ea ho lokolla, ho tšoara, ho tšoara, ho tšoara, ho tšoara letsoho le haufi.
E entsoe ka thipa ea ho itšeha le setulo sa "cartridge" se tloaelehileng, 'me likarolo li entsoe ka li-cartridge tse tloaelehileng le lipekere tsa anastomosis.Sehlahisoa se fanoa ka boemo bo sa hloekang' me se entsoe ka ethylene oxide.
Sebelisa nako e le 'ngoe.

Sebaka sa tšebeliso ea laparoscopic stapler:
E loketse bakeng sa opereishene ea ho buoa e bulehileng kapa ea endoscopic, sehlopha sa matšoafo le sa bronchial, ho loha le ho phunya, transection le anastomosis ea mpa le mala.

Laparoscopy Linear Cutter Stapler le Likarolo tse lahliloeng

I. Lebitso la sehlahisoa, mohlala, tlhaloso
Lebitso la sehlahisoa: Endoscopic linear cutting stapler le likaroloana tse lahliloeng
Tlhaloso ea mohlala:Endoscopic linear cutting stapler e lahloang: PESS35, PESS45, PESS60, PESM35, PESM45, PESM60, PESL35, PESL45, PESL60, PEPS35, PEPS45, PEPS60, PEPM35, PEPM45, PEPM60, PEPL405, PEPL35, PEPL35, PEPL35, PEPL35, PEPS45;
Lisebelisoa tse lahliloeng tsa endoscopic linear cutting stapler: PSGST35M, PSGST35W, PSGST35B, PSGST35D, PSGST35G, PSGST35T, PSGST45M, PSGST45W, PSGST45B, PSGST45D, PSGST45W, PSGST45G, PSGST45G, PSGST4SGTS, PSGST4SGTS, PSGST4SGTS SGST35G, PSGST60T, PSGST60B, PSGST60T, PSGST60D, PSGST60B, PSGST35G , PSGST60D, PSGST60B PPEPR60D, PPEPR60G, PPEPR60T.
II.Ts'ebetso ea sehlahisoa
Stapler e lokela ho behoa ka nepo, likarolo tse ncha e lokela ho ba tse loketseng, tse tiileng, tse se nang tšitiso, 'me ho be le melumo kapa litlatsetso tse ling ha likarolo li le teng.Li-staples li lokela ho kenngoa ka mokhoa o tsitsitseng ka har'a kopano, 'me lihlahisoa ha lia lokela ho pepesoa holim'a cartridge e tloaelehileng ka mor'a ho sisinyeha.Ho bula le ho koala mehlahare ea stapler e lokela ho fetoha habonolo 'me ha hoa lokela ho ba le jamming.Sebopeho se kopantsoeng le sebopeho sa ho potoloha ha stapler se lokela ho fetoha habonolo le ho se na lithibelo.Kamano pakeng tsa 'mele oa stapler le likarolo e lokela ho ba e tiileng le e ka tšeptjoang.Ka mor'a hore stapler e suthise hlooho ea eona ho ea holimo, e ka qeta ho thunya le ho tsosolosa ka katleho.Ho na le matla a itseng a clamping ka mor'a hore mehlahare ea stapler e koetsoe, 'me matla a ho koala ha aa lokela ho ba ka tlase ho 4N.Ho na le matla a itseng a ho koala ka mor'a hore mehlahare ea stapler e koetsoe, 'me matla a ho koala ha aa lokela ho ba ka tlase ho 30N.E na le ts'ebetso e itseng ea letsoho le le leng.Stapler e lokela ho ba le ts'ebetso e ntle ea stapling le ho itšeha.Likarolo tse ka nkeloang sebaka li ka sebelisoa bakeng sa ho itšeha ka makhetlo a mangata, 'me eseng ka tlase ho makhetlo a 8.The seha bohale ka mor'a e mong le e stapling e lokela ho ba makhethe 'me a se na burrs,' me bolelele ba distal qetellong ea mong le e mong stapling line e lokela ho ba telele ho feta ho itšeha mola Bolelele e lokela ho ba bonyane makhetlo a 1.5 bolelele ba manala, 'me lijo tsa motheo ka mor'a hore mong le e mong anastomosis. e lokela ho bōptjoa joalo ka "B".Mohala o tloaelehileng ka mor'a anastomosis o lokela ho ba le matla a itseng a tloaelehileng a suture line, 'me matla a suture line ha ea lokela ho ba ka tlase ho 0.1N/mm.Stapler e lokela ho ba le sesebelisoa se bonts'ang maikutlo a ho thunya se ka bonts'ang ts'ebetso kapa boemo ba ho thunya.
III.Sebopeho se seholo
Endoscopic linear cut stapler le likarolo tse lahliloeng li entsoe ka 'mele le likarolo, moo' mele o nang le anvil, hlooho e kopaneng, molamu, konopo ea rotary, paddle ea tokiso, konopo ea blade, fensetere ea ho thunya, tataiso ea lehare E entsoe ka fensetere ea sesupo, konopo ea ho lokolla, ho tšoara, ho koala sekheo, sekontiri sa ho thunya, thipa ea ho itšeha, le setulo se seholo sa cartridge, kopano e entsoe ka cartridge e tloaelehileng le li-staples.
IV.Sebaka sa kopo
E loketse bakeng sa resection, transection le anastomosis ea matšoafo, lithane tsa bronchial, mpa le mala ha ho buuoa ka mokhoa o bulehileng kapa oa endoscopic.

Sheba Setšoantšo sa 1, Setšoantšo sa 2, Lethathamo la 1, le Lethathamo la 2 bakeng sa mefuta le litekanyo tsa motheo tsa li-staplers tsa endoscopic linear cutting le likarolo tsa ho itšeha.

V. Ponahalo le sebopeho sa sehlahisoa

1—Setulo se thibelang manala, 2—Hlooho e Kopanetsoeng, 3—Molamu;4-Koto ea ho potoloha;5—Sekepe sa ho feto-fetoha; 6—Konopo ea ho fetola tsela ea lehare;7 - Fensetere ea letšoao la ho thunya;8-Fensetere ea tataiso ea lehare;9-konopo ea ho lokolla;10-tšoara; 11-ho koala letsoho;12—mofeng oa ho thunya;13—thipa e sehang;14-setulo sa cartridge ea lipekere

Setšoantšo sa 1 'Mele oa "linear cutting stapler" bakeng sa endoscopy e lahloang

1-Staple bin 2-setapo

Setšoantšo sa 2 Kopano ea "linear cutting stapler" bakeng sa endoscope e lahliloeng

Letlapa 1 Litekanyo tsa motheo tsa 'mele

Litlhaloso tsa Mohlala	L(mm)	Mamello (mm)	Bending angle W (°)	Mamello (°)
PESS35	190	±5	45	±10
PESM35	250
PESL35	350
PESS45	190
PESM45	250
PESL45	350
PESS60	190
PESM60	250
PESL60	350
PEPS35	190
PEPM35	250
PEPL35	350
PEPS45	190
PEPM45	250
PEPL45	350
PEPS60	190
PEPM60	250
PEPL60	350

Letlapa 1 Litekanyo tsa motheo tsa 'mele

Tlhokomeliso: Likarolo tse nang le bolelele bo lekanang ba 35 li ka sebelisoa feela bakeng sa 'mele o nang le bolelele bo lekanang ba 35, likarolo tse nang le bolelele bo lekanang ba 45 li ka sebelisoa feela bakeng sa' mele o nang le bolelele bo lekanang ba 45, le likarolo tse nang le bolelele bo lekanang. bolelele bo lekanang ba 60 bo ka sebelisoa feela bakeng sa bolelele bo lekanang 'Mele ke 60.

Letlapa la 2 Yuniti ea boholo ba motheo ea likarolo: mm

mohlala

mmala

Bolelele ba mohala o molelele oa mola o le mong oa kopano (L1)

Toler

kholo (mm)

Bophahamo ba mantlha ba staple (H)

Mamello (mm)

mohlala

mmala

Bolelele ba mohala o molelele oa mola o le mong oa kopano (L1)

Toler

kholo (mm)

Bophahamo ba mantlha ba staple (H)

Mamello (mm)

PSGST35M

Molora

35.2

±2

±0.2

PSEPR35M

Molora

35.2

±2

±0.2

PSGST35W

Bosoeu

35.2

2.6

PSEPR35W

Bosoeu

35.2

2.6

PSGST35B

putsoa

35.2

3.6

±0.15

PSEPR35B

putsoa

35.2

3.6

±0.15

PSGST35D

khauta

35.2

3.8

PSEPR35D

khauta

35.2

3.8

PSGST35G

botala

35.2

4.1

±0.1

PSEPR35G

botala

35.2

4.1

±0.1

PSGST35T

ntsho

35.2

4.2

PSEPR35T

ntsho

35.2

4.2

PSGST45M

Molora

47.2

±0.2

PSEPR45M

Molora

47.2

±0.2

PSGST45W

Bosoeu

47.2

2.6

PSEPR45W

Bosoeu

47.2

2.6

PSGST45B

putsoa

47.2

3.6

±0.15

PSEPR45B

putsoa

47.2

3.6

±0.15

PSGST45D

khauta

47.2

3.8

PSEPR45D

khauta

47.2

3.8

PSGST45G

botala

47.2

4.1

±0.1

PSEPR45G

botala

47.2

4.1

±0.1

PSGST45T

ntsho

47.2

4.2

PSEPR45T

ntsho

47.2

4.2

PSGST60M

Molora

59.3

±0.2

PSEPR60M

Molora

59.3

±0.2

PSGST60W

Bosoeu

59.3

2.6

PSEPR60W

Bosoeu

59.3

2.6

PSGST60B

putsoa

59.3

3.6

±0.15

PSEPR60B

putsoa

59.3

3.6

±0.15

Tlhaloso: PSGST60D

khauta

59.3

3.8

PSEPR60D

khauta

59.3

3.8

PSGST60G

botala

59.3

4.1

±0.1

PSEPR60G

botala

59.3

4.1

±0.1

PSGST60T

ntsho

59.3

4.2

PSEPR60T

ntsho

59.3

4.2

PPGST35M

Molora

35.2

±0.2

PPEPR35M

Molora

35.2

±0.2

PPGST35W

Bosoeu

35.2

2.6

PPEPR35W

Bosoeu

35.2

2.6

PPGST35B

putsoa

35.2

3.6

±0.15

PPEPR35B

putsoa

35.2

3.6

±0.15

Setšoantšo sa PPGST35D

khauta

35.2

3.8

PPEPR35D

khauta

35.2

3.8

PPGST35G

botala

35.2

4.1

±0.1

PPEPR35G

botala

35.2

4.1

±0.1

PPGST35T

ntsho

35.2

4.2

PPEPR35T

ntsho

35.2

4.2

PPGST45M

Molora

47.2

±0.2

PPEPR45M

Molora

47.2

±0.2

PPGST45W

Bosoeu

47.2

2.6

PPEPR45W

Bosoeu

47.2

2.6

PPGST45B

putsoa

47.2

3.6

±0.15

PPEPR45B

putsoa

47.2

3.6

±0.15

Setšoantšo sa PPGST45D

khauta

47.2

3.8

PPEPR45D

khauta

47.2

3.8

PPGST45G

botala

47.2

4.1

±0.1

PPEPR45G

botala

47.2

4.1

±0.1

PPGST45T

ntsho

47.2

4.2

PPEPR45T

ntsho

47.2

4.2

PPGST60M

Molora

59.3

±0.2

PPEPR60M

Molora

59.3

±0.2

PPGST60W

Bosoeu

59.3

2.6

PPEPR60W

Bosoeu

59.3

2.6

PPGST60B

putsoa

59.3

3.6

±0.15

PPEPR60B

putsoa

59.3

3.6

±0.15

Setšoantšo sa PPGST60D

khauta

59.3

3.8

PPEPR60D

khauta

59.3

3.8

PPGST60G

botala

59.3

4.1

±0.1

PPEPR60G

botala

59.3

4.1

±0.1

PPGST60T

ntsho

59.3

4.2

PPEPR60T

ntsho

59.3

4.2

VI.Contraindications
1).edema e matla ea mucosal;
2).Ho thibetsoe ka thata ho sebelisa sesebelisoa sena sebeteng kapa lisele tsa spleen.Ka lebaka la thepa ea khatello ea lisele tse joalo, ho koaloa ha sesebelisoa ho ka ba le phello e senyang;
3).Ha e khone ho sebelisoa likarolong tseo hemostasis e ke keng ea bonoa;
4).Likarolo tse bohlooho li ke ke tsa sebelisoa bakeng sa lisele tse nang le botenya bo ka tlaase ho 0.75mm ka mor'a ho hatella kapa bakeng sa lisele tse ke keng tsa hatelloa hantle ho isa botenya ba 1.0mm;
5).Likarolo tse tšoeu li ke ke tsa sebelisoa bakeng sa lisele tse nang le botenya bo ka tlase ho 0.8mm ka mor'a ho hatella kapa li-tissue tse ke keng tsa hatelloa hantle ho fihlela boima ba 1.2mm;
6).Karolo e putsoa ha ea lokela ho sebelisoa bakeng sa linama tse ka tlase ho 1.3mm ka mor'a ho hatelloa kapa tse ke keng tsa hatelloa hantle ho isa botenya ba 1.7mm.
7).Likarolo tsa khauta li ke ke tsa sebelisoa bakeng sa lisele tse nang le botenya bo ka tlase ho 1.6mm ka mor'a ho hatelloa kapa li-tissue tse ke keng tsa hatelloa hantle ho isa botenya ba 2.0mm;
8).Karolo e tala ha ea lokela ho sebelisoa bakeng sa linama tse ka tlase ho 1.8mm ka mor'a ho hatelloa kapa tse ke keng tsa hatelloa hantle ho isa botenya ba 2.2mm.
9).Karolo e ntšo ha ea lokela ho sebelisoa bakeng sa lithane tse ka tlase ho 2.0mm ka mor'a ho hatelloa kapa tse ke keng tsa hatelloa hantle ho isa botenya ba 2.4mm.
10).E thibetsoe ka ho feletseng ho sebelisa lesela la aorta.

VII.Mokhoa oa ho sebelisa
Litaelo tsa ho kenya cartridge:
1).Ntša sesebelisoa le khatriji ea mantlha liphutheloana tsa bona tse fapaneng tlasa ts'ebetso ea aseptic;
2).Pele o kenya cartridge e tloaelehileng, etsa bonnete ba hore sesebelisoa se sebakeng se bulehileng;
3).Lekola hore na khatriji ea mantlha e na le sekoaelo se sireletsang.Haeba cartridge e tloaelehileng e se na sekoahelo se sireletsang, e thibetsoe ho e sebelisa;
4).Hokela "cartridge" ea "staple cartridge" ka tlase ho setulo sa "cartridge" sa mohlahare, se kenye ka mokhoa o thellang ho fihlela sekoaelo sa "staple" se tsamaisana le bayonet, lokisa "staple cartridge" sebakeng sa eona 'me u tlose sekoaelo se sireletsang.Ka nako ena, sesebelisoa se se se loketse ho chesa;(Tlhokomeliso: Pele cartridge ea mantlha e kengoa sebakeng sa eona, ka kopo u se ke oa tlosa sekoaelo sa ts'ireletso sa "cartridge" ea mantlha.
5).Ha o laolla khatriji ea mantlha, sutumelletsa khatriji ea mantlha ntlheng ea setulo sa lipekere ho e lokolla setulong se seholo sa cartridge;
6).Ho kenya cartridge e ncha, pheta mehato ea 1-4 ka holimo.

Litaelo tsa Intraoperative:
1).Koala sephethephethe sa ho koala, 'me molumo oa "tobetsa" o bontša hore sephethephethe se koaletsoeng se koetsoe,' me karolo ea occlusal ea cartridge e tloaelehileng e boemong bo koetsoeng;Tlhokomeliso: Se ke oa tšoara mofeng oa ho thunya ka nako ena
2).Ha u kena ka sekoting sa 'mele ka cannula kapa incision ea trocar, sefahleho sa occlusal sa sesebelisoa se tlameha ho feta ka har'a cannula pele sebaka sa occlusal sa cartridge e tloaelehileng e ka buloa;
3).Sesebelisoa se kena ka sekoting sa 'mele, tobetsa konopo ea tokollo, bula bokaholimo ba sesebelisoa, ebe u seta setshwano se koalang bocha.
4).Fetola kotola ea rotary ka monoana oa index ho potoloha, 'me e ka fetoloa likhato tse 360;
5).Khetha sebaka se loketseng (joalo ka sebopeho sa 'mele, setho kapa sesebelisoa se seng) joalo ka sebaka sa ho ikopanya, hula lesela la phetoho ka monoana oa index, sebelisa matla a karabelo ka sebaka sa ho ikopanya ho lokisa angle e kobehang, 'me u netefatse hore khatriji ea mantlha e ka har'a sebaka sa pono.
6).Fetola boemo ba sesebelisoa ho lesela hore le be le anastomosed/cut;
Tlhokomeliso: Etsa bonnete ba hore thishu e behiloe sephara pakeng tsa libaka tse occlusal, ha ho na litšitiso libakeng tse occlusal, joalo ka li-clip, li-brackets, lithapo tsa tataiso, joalo-joalo, 'me boemo bo nepahetse.Qoba likheo tse sa fellang, li-staples tse sa thehoang hantle, le/kapa ho hloleha ho bula libaka tse occlusal tsa sesebelisoa.
7).Ka mor'a hore sesebelisoa se khethe lesela le lokelang ho etsoa anastomosed, koala seqha ho fihlela se notletsoe 'me u utloe / u utloe molumo oa "tobetsa";
8).Sesebelisoa sa ho thunya.Sebelisa mokhoa oa "3+1" ho theha ts'ebetso e felletseng ea ho itšeha le ho suturing;"3": tšoara mofeng oa ho thunya ka botlalo ka metsamao e boreleli, 'me u e lokolle ho fihlela e lekana le mothapo o koalang.Ka nako e ts'oanang, hlokomela hore palo e fensetereng ea letšoao la ho thunya ke "1" "Ena ke stroke, palo e tla eketseha ka "1" ka leqeba le leng le le leng, palo ea lichapo tse 3 tse latellanang, ka mor'a leqeba la boraro, lehare. tataiso ea tataiso lifensetere ka mahlakoreng ka bobeli a sephethephethe se sesoeu se tsitsitseng se tla supa pheletsong e haufi ea sesebelisoa, ho bonts'a hore thipa e ho Return mode, tšoara le ho lokolla sephethephethe sa ho thunya hape, fensetere ea letšoao e tla bonts'a 0, e bonts'a hore thipa e khutletse sebakeng sa eona sa ho qala;
9).Tobetsa konopo ea tokollo, bula sebaka sa occlusal, 'me u tsosolose letsoho la ho thunya la molamu o koalang;
Tlhokomeliso: Tobetsa konopo ea tokollo, haeba sebaka sa occlusal se sa bulehe, qala ka ho netefatsa hore na fensetere ea sesupo e bontša "0" le hore na fensetere e supang lehlakoreng la sesebelisoa ho netefatsa hore thipa e qalong. boemo.Ho seng joalo, u lokela ho sutumelletsa konopo ea ho fetola tsela ea lehare ho fetola tsela ea lehare, 'me u tšoare ka ho feletseng sets'oants'o sa ho thunya ho fihlela se lekana le se koalang, ebe o tobetsa konopo ea ho lokolla;
10).Ka mor'a ho lokolla lisele, hlahloba phello ea anastomosis;
11).Koala letsoho le koalang 'me u ntše sesebelisoa.

VIII.Mekhoa ea tlhokomelo le tlhokomelo ea lihlahisoa

1. Polokelo: Boloka ka phaposing e nang le mongobo o sa feteng 80%, e nang le moea o motle, e se nang likhase tse senyang.
2. Lipalangoang: Sehlahisoa se pakiloeng se ka tsamaisoa ka lisebelisoa tse tloaelehileng.Nakong ea lipalangoang, e lokela ho tšoaroa ka hloko 'me e qobe letsatsi le tobileng, ho thulana ho matla, pula le matla a khoheli.
IV.Letsatsi la pheletso
Ka mor'a hore sehlahisoa se hloekisoe ke ethylene oxide, nako ea sterilization ke lilemo tse tharo, 'me letsatsi la ho fela le bontšoa ho label.

X. Lethathamo la likarolo
ha ho letho

XI, Litlhokomelo, Litemoso
1. Ha u sebelisa sehlahisoa sena, litlhaloso tsa ts'ebetso ea aseptic li lokela ho lateloa ka thata;
2. Ka kopo, hlahloba sephutheloana sa sehlahisoa sena ka hloko pele se sebelisoa, haeba sephutheloana sa blister se senyehile, ka kopo khaotsa ho se sebelisa;
3. Sehlahisoa sena se hloekisitsoe ka ethylene oxide, 'me sehlahisoa sa sterilized ke sa tšebeliso ea meriana.Ka kopo, sheba letšoao la "disk" lebokoseng la liphutheloana tsa "sterilization" la sehlahisoa sena, "blue" e bolela hore sehlahisoa se entsoe sterilized mme se ka sebelisoa ka kotloloho ho bongaka;
4. Sehlahisoa sena se sebelisetsoa ts'ebetso e le 'ngoe' me se ke ke sa etsoa sterilized ka mor'a ho sebelisoa;
5. Ka kopo, hlahloba hore na sehlahisoa se nakong ea ho sebetsa pele se sebelisoa.Nako ea netefatso ea sterilization ke lilemo tse tharo.Lihlahisoa tse fetang nako ea ts'ebetso li thibetsoe ka thata;
6. Kopano ea ho itšeha ea laparoscopic e hlahisoang ke k'hamphani ea rona e tlameha ho sebelisoa hammoho le mofuta o tsamaellanang le litlhaloso tsa "laparoscopy linear cutting stapler" tse hlahisoang ke k'hamphani ea rona.Sheba Lethathamo la 1 le la 2 ho fumana lintlha;
7. Ts'ebetso e fokolang haholo e lokela ho etsoa ke batho ba fumaneng koetliso e lekaneng 'me ba tloaelane le mekhoa e fokolang haholo.Pele o etsa opereishene leha e le efe e fokolang haholo, lingoliloeng tsa bongaka tse amanang le mokhoa ona, mathata a eona le likotsi li lokela ho botsoa;
8. Boholo ba lisebelisoa tse fokolang tse tsoang ho bahlahisi ba fapaneng li ka fapana.Haeba lisebelisoa tse fokolang tsa ho buoa le lisebelisoa tsa tsona tse hlahisoang ke bahlahisi ba fapaneng li sebelisoa ts'ebetsong e le 'ngoe ka nako e le' ngoe, hoa hlokahala ho hlahloba hore na li lumellana pele ho ts'ebetso;
9. Kalafo ea mahlaseli pele ho opereishene e ka baka liphetoho tsa lisele.Ka mohlala, liphetoho tsena li ka 'na tsa etsa hore lisele li teteane ho feta se boletsoeng bakeng sa lijo tse tloaelehileng tse khethiloeng.Kalafo leha e le efe ea mokuli pele ho opereishene e lokela ho nkoa ka hloko 'me e ka hloka liphetoho mokhoeng oa ho buoa kapa mokhoa oa ho atamela;
10. U se ke ua lokolla konopo ho fihlela sesebelisoa se loketse ho chesa;
11. Etsa bonnete ba hore u hlahloba tšireletseho ea cartridge e tloaelehileng pele u thunya;
12. Ka mor'a ho thunya, etsa bonnete ba hore u hlahloba hemostasis molaong oa anastomotic, hlahloba hore na anastomosis e phethehile le hore na ho na le ho tsuba;
13. Etsa bonnete ba hore botenya ba lisele bo ka har'a sebaka se boletsoeng le hore lesela le arotsoe ka ho lekana ka har'a stapler.Ho ba le lisele tse ngata ka lehlakoreng le leng ho ka baka anastomosis e futsanehileng, 'me ho ka hlaha leakage ea anastomotic;
14. Tabeng ea lisele tse feteletseng kapa tse teteaneng, ho leka ho qobella moferefere ho ka 'na ha fella ka li-sutures tse sa phetheheng le ho phatloha ha anastomotic kapa ho lutla.Ho phaella moo, tšenyo ea lisebelisoa kapa ho hlōleha ho chesa ho ka etsahala;
15. Thunya e le 'ngoe e tlameha ho phethoa.Le ka mohla u se ke ua chesa sesebelisoa ka mokhoa o sa fellang.Ho thunya ho sa phetheheng ho ka 'na ha etsa hore ho be le lijo tse sa tloaelehang tse entsoeng ka mokhoa o sa lokelang, mohala o sa fellang, ho tsoa mali le ho tsoa ho tsoa ho suture, le / kapa bothata ba ho tlosa sesebelisoa;
16. Etsa bonnete ba hore o chesa ho fihlela qetellong ho etsa bonnete ba hore li-staples li entsoe ka nepo 'me lesela le khaoloa hantle;
17. Penya letsoho la ho thunya ho pepesa lehare la ho itšeha.U se ke ua hatella letsoho khafetsa, e leng se tla baka tšenyo sebakeng sa anastomosis;
18. Ha o kenya sesebelisoa, etsa bonnete ba hore tšireletso e sebakeng se koetsoeng ho qoba ts'ebetso e sa lebelloang ea leqhubu la ho thunya, e leng se bakang ho pepeseha ha lehare ka phoso le ho tsamaisoa ka mokhoa o sa fellang kapa ka ho feletseng ha li-staples;
19. Nako e phahameng ea ho thunya ea sehlahisoa sena ke linako tse 8;
20. Ho sebelisa sesebelisoa sena ka lisebelisoa tsa ho matlafatsa mela ea anastomotic ho ka fokotsa palo ea lithunya;
21. Sehlahisoa sena ke sesebelisoa sa tšebeliso e le 'ngoe.Hang ha sesebelisoa se butsoe, ho sa tsotellehe hore na se sebelisoa kapa che, se ke ke sa etsoa sterilized hape.Etsa bonnete ba hore o notlela senotlolo sa tšireletso pele o tšoara;
22. E bolokehile tlas'a maemo a itseng a nuclear magnetic resonance (MR):
·Liteko tseo e seng tsa kliniki li bonts'a hore li-staples tse kenngoeng ka boleng ba TA2G li ka sebelisoa bakeng sa MR ho latela maemo.Bakuli ba ka hlahlojoa ka mokhoa o sireletsehileng hang ka mor'a ho kenngoa ka mokhoa o tloaelehileng maemong a latelang:
·Maemo a matla a khoheli a tsitsitseng a pakeng tsa 1.5T-3.0T feela.
·Maemo a phahameng ka ho fetisisa a sebaka sa makenete ke 3000 gauss/cm kapa ka tlase.
·Sistimi e kholo ka ho fetisisa e tlalehiloeng ea MR, e hlahlobang metsotso e 15, 'mele oohle oa karolelano ea absorption ratio (SAR) ke 2 W/kg.
Tlas'a maemo a ho skena, mocheso o phahameng ka ho fetesisa oa lintho tse tloaelehileng o lebelletsoe ho ba 1.9°C ka mor'a ho skena metsotso e 15.
Lintlha tsa artifact:
Ha ho lekoa ka mokhoa o seng oa bongaka ho sebelisoa setšoantšo sa gradient echo pulse sequence le static magnetic field 3.0T MR system, li-staples li bakile li-artifacts tse ka bang 5 mm ho tloha sebakeng se kentsoeng.
23. Sheba letšoao la letsatsi la tlhahiso;