Linear cutting stapler bakeng sa likarolo tse lahliloeng tsa endoscope

Mafapha a sebetsang le ts'ebetso ea linear cutting stapler

Ka ntle ho sefuba: splenectomy, lobectomy;

Gynecology: ho hlajoa ha mae a bomme le lisebelisoa;

Kakaretso: phokotso ea molumo oa mpa, subtotal gastrectomy, pancreatectomy (ho tlosoa ha pancreatic pedicle), hepatectomy (ho tlosoa ha sebete sa sebete);

Urology: nephrectomy (resection of renal pedicle), vasculature, rectotomy, cholecystectomy, tissue dissection, excision le anastomosis ka opereishene e bulehileng.

Melemo ea linear cutting stapler

1. Bonolo:

Sebaka sa lipekere se tšesaane 'me se tsitsitse mohahong oa lipekere, o ka fumanoang ho tloha sebakeng se moqotetsane haholo tlas'a lesela;

Nail Bin e nang le moralo o kopaneng oa hlooho, 0 °, 30 °, 45 ° li-angles tse tharo tsa ho potoloha, ho potoloha ka litsela tse peli, ts'ebetso e bonolo;

Ha ho matla a ho ts'oara pele ho ts'enyehelo, a ka sebelisoang e le merero e mengata, joalo ka lipekere tsa ho tšoara;

Sesebelisoa se nang le mefuta e sa tšoaneng ea lipekere, ho finyella litlhoko tsa libaka tse fapaneng tsa ho buoa, ho fokotsa ho rarahana ha ts'ebetso, ho fokotsa litšenyehelo tsa ho buuoa.

2. Ho tenyetseha:

Lithane tse fapaneng, botenya bo fapaneng, khetha bin e fapaneng ea lipekere, botenya ba lithane tsa suture tsa 0.7-2.0mm;

Libanka tse fapaneng tsa lipekere li khethoa bakeng sa likarolo tse fapaneng tsa lisele tse tšoanang ho fokotsa litšenyehelo tsa ho buuoa.

3. Ho tšepahala

Mela e 6 ea lipekere tse rokang lia lokolloa ha ho thunngoa, 'me thipa e sehang e khaoloa ho tloha bohareng ho fana ka tiiso e sireletsehileng ka ho fetisisa bakeng sa suture ea lisele.

Bophahamo ba mela e meraro ea lipekere tsa unilateral suture li fapane haholo (moralo oa mehato), hemostasis ea bohale ba ho phunyeha e molemo, 'me phepelo ea mali ea lisele tsa suture e molemo.

Tšebeliso e 'ngoe le e' ngoe ea bin e ncha ka ho feletseng, e lumellanang le molao-motheo oa ho se be le hlahala;

Ha o thunya, lehare la ho itšeha le tloha pheletsong e haufi ho ea pheletsong ea distal, 'me le koala ha le ntse le khaola ha le ntse le kopanya lesela ho etsa bonnete ba hore mola o mong le o mong oa ho roka o thehoa ka bophahamo bo lekanang.