Umqeqeshi weLaparoscopiciphucula izakhono zotyando
Sebenzisa umqeqeshi we-laparoscopic olula kuqeqesho olusisiseko lokusebenza phantsi kwe-microscope
Olu lingelo lokufundisa lujolise ikakhulu kumaqela amabini ogqirha abahlaziyayo abathathe inxaxheba kwiklasi yophuculo lokuya kooGqirha kwiPhondo laseShaanxi kwisebe lethu ukusuka ku-2013 ukuya ku-2014. Bonke oogqirha bahamba oogqirha botyando ngokubanzi lwekliniki kwizibhedlele zasesekondari abanamava athile okusebenza, kwaye bonke banamava athile otyando lwe-laparoscopic.Abantu be-32 bebonke, i-16 kubo (abachongwe njengeqela A) bafumana uqeqesho lweeyure ezi-2 ze-laparoscopic yomqeqeshi wokusebenza kwabaqeqeshi yonke imihla kwiinyanga ezi-2 ngaphezu komsebenzi wekliniki wemihla ngemihla.Abanye abali-16 (iqela B) balandela ngokuthe ngqo ootitshala ababekhapha ukuze benze utyando olwahlukeneyo yonke imihla, kubandakanywa utyando lwe-laparoscopic.Umqeqeshi osetyenzisiweyo ngeli xesha ngumqeqeshi olula we-laparoscopic, kubandakanywa i-chassis, ikhamera ebuyiselwayo kunye nesikhokelo, umboniso kunye nezixhobo ze-laparoscopic.
Iitemplate ezahlukeneyo zinokufakwa kwibhokisi yomqeqeshi ukugqiba olu qeqesho lulandelayo olusisiseko:
(1) ukuchola iimbotyi zesoya phantsi kwesipili: intwana yeembotyi zesoya kunye nebhotile yomlomo emxinwa zibekwe kwipleyiti esezantsi yebhokisi yoqeqesho, kwaye iimbotyi zesoya zisiwa kwibhotile yomlomo emxinwa nganye nganye ngokubanjwa ngesandla sasekhohlo nasekunene. ukubamba iipliers ukuqeqesha izakhono ezichanekileyo zokubeka kunye nokuqhelanisa.
(2) Ukuxhunyaniswa kwemithambo yegazi eyenziweyo: lungisa ityhubhu yeplastiki eyenziweyo kwiplate engezantsi, ubambe intambo ngezandla zombini, udlulise intambo kwaye ubophe iqhina, kwaye uqeqeshe ukulungelelanisa intshukumo yokubamba isixhobo ngezandla zombini.
3Iindidi ezintathu zoqeqesho olusisiseko yimisebenzi eqhubekayo.Isinyathelo sesibini soqeqesho lwe-artificial ligation ligation lunokwenziwa kuphela xa izandla zombini zithatha iimbotyi zesoya ngokutshintshana kwi-20 / min.Uqeqesho lwe-Suture lunokwenziwa kuphela emva kokubopha amaxesha ama-5 / min phantsi kwe-microscope.I-suture idinga i-3 stitches, i-knotting kunye ne-thread cutting ukuba igqitywe kwimizuzu eyi-10.Emva koqeqesho olungenasiphazamiso lwemihla ngemihla, abaqeqeshwayo banokuhlangabezana nezi mfuno zingasentla kwinyanga enye.
Ekugqibeleni, abo baphumelele uviwo baya kucwangciswa ukuba basebenzise isilwanyana sokulinga (umvundla).Emva kwe-anesthesia, udonga lwesisu somvundla luya kunqunyulwa kwaye lulungiswe kwibhentshi yokuvavanya:
(1) Veza ityhubhu yamathumbu, unqumle ityhubhu yamathumbu phantsi kwe-microscope eqhelekileyo kunye nokuthunga ityhubhu yamathumbu ngokuqhubekayo.
(2) Sika i-capsule ye-renal kunye ne-lateral peritoneum, i-ligate ephindwe kabini kwaye unqumle umthambo wezintso kunye ne-vein, kwaye uzalise i-nephrectomy.Ngale mithambo ingentla, injongo yoqeqesho lwezakhono zokusebenza ezifana ne-anatomy, ukwahlula, ukusika, ukuqhina kunye nokuthunga phantsi kwe-endoscope inokufezekiswa.
Ixesha lokuposa: Jun-03-2022
