Mokoetlisi oa Laparoscopice ntlafatsa tsebo ea ho buuoa
Sebelisa mokoetlisi ea bonolo oa laparoscopic bakeng sa koetliso ea ts'ebetso ea mantlha tlas'a microscope
Teko ena ea ho ruta e reretsoe haholo-holo lihlopha tse peli tsa lingaka tse nchafatsang tse ileng tsa kenya letsoho sehlopheng sa ntlafatso sa lingaka tse eang Profinseng ea Shaanxi lefapheng la rona ho tloha 2013 ho isa 2014. bohle ba na le phihlelo e itseng ea ho buuoa ka laparoscopic.Kakaretso ea batho ba 32, ba 16 ho bona (ba khethiloeng e le sehlopha sa A) ba fumane koetliso ea lihora tse peli tsa mokoetlisi oa laparoscopic letsatsi le leng le le leng bakeng sa likhoeli tsa 2 ho phaella mosebetsing oa letsatsi le letsatsi oa tleliniki.Ba bang ba 16 (sehlopha sa B) ba ile ba latela ka ho toba matichere a tsamaeang le bona ho etsa liopereishene tse fapaneng letsatsi le leng le le leng, ho kenyelletsa le opereishene ea laparoscopic.Mokoetlisi ea sebelisitseng nako ena ke mokoetlisi ea bonolo oa laparoscopic, ho kenyeletsoa chassis, kh'amera e ka khutlisang le e tataisang, lisebelisoa tsa ponts'o le laparoscopic.
Li-template tse fapaneng li ka beoa ka lebokoseng la mokoetlisi ho phethela lithupelo tse latelang tsa ts'ebetso:
(1) ho nka soya ka tlas'a seiponeng: soya e tletseng letsoho le botlolo ea molomo e moqotetsane e behoa holim'a poleiti e ka tlase ea lebokose la koetliso, 'me soya e kenngoa ka botlolong e moqotetsane ka bonngoe ka letsoho le letšehali le le letona. ho ts'oara lisebelisoa ho koetlisa maemo a nepahetseng le tsebo ea ho tsamaisa.
(2) Ho kopanya methapo ea mali ea maiketsetso: lokisa tube ea maiketsetso ea polasetiki holim'a poleiti e ka tlase, tšoara khoele ka matsoho a mabeli, fetisa khoele 'me u tlame lefito,' me u koetlise mokhoa oa ho tsamaisana le ho tšoara sebetsa ka matsoho a mabeli.
(3) Suturing tlas'a microscope: maiketsetso letlalo incision e behoa ka poleiti tlase le sutured le knotted tlas'a microscope, e leng a loketse bakeng sa ka ho fetisisa motheo opereishene suturing tlas'a microscope.Mefuta e meraro ea lithupelo tsa mantlha ke boikoetliso bo tsoelang pele.Mohato oa bobeli oa koetliso ea lijana tsa maiketsetso e ka etsoa feela ha matsoho a mabeli a nka soya ka tsela e fapaneng bakeng sa 20 / min.Koetliso ea suture e ka etsoa feela ka mor'a ho kotula makhetlo a 5 / min tlas'a microscope.The suture hloka 3 stitches, knotting le khoele seha ho phethoa ka hare ho metsotso e 10.Ka mor'a koetliso e sa sitisoeng ea letsatsi le letsatsi, barupeluoa ba ka finyella litlhoko tse ka holimo nakong ea khoeli e le 'ngoe.
Qetellong, ba fetang tlhahlobo ba tla hlophisoa ho sebetsa phoofolo ea liteko (mmutla).Kamora 'anesthesia, lebota la mpa la mmutla le tla khaoloa' me le behoe bencheng ea liteko:
(1) Hlahisa tšupu ea mala, khaola tšupu ea mala ka tlas'a microscope e tloaelehileng 'me u sututse mala a mala ka ho tsoelang pele.
(2) Khaola capsule ea renal le lateral peritoneum, ligate tse peli 'me u khaole mothapo oa renal le mothapo, ebe u tlatsa nephrectomy.Ka lithupelo tse kaholimo, sepheo sa ho koetlisa litsebo tsa ts'ebetso joalo ka anatomy, karohano, ho itšeha, ho kopa le ho suture tlas'a endoscope e ka fihlelleha.
Nako ea poso: Jun-03-2022
