Xa kuziwa kuqhaqho lwe-laparoscopic, abantu abaqhelekanga.Ngokuqhelekileyo iqhutywe kwisigxina sesigulane ngokusebenzisa i-2-3 encinci ye-1 cm.Injongo ephambili yesixhobo sokuhlatywa kwe-laparoscopic elahlayo kwi-laparoscopic yotyando kukungena kuwo wonke udonga lwesisu, ukuseka umjelo phakathi komphandle kunye nomngxuma wesisu, vumela izixhobo zotyando zingene kumngxuma wesisu ngokusebenzisa umkhono wesixhobo sokubhoboza, ukugqiba inkqubo yotyando. kunye nokufezekisa injongo efanayo yotyando oluvulekileyo lwemveli.
Isixhobo esilahlwayo sokugqobhoza kwelaparoscopic siquka umkhono wokugqobhoza kunye nondoqo wokugqobhoza.Umsebenzi oyintloko we-puncture core kukungena kuyo yonke inkqubo yodonga lwesisu kunye nomkhono we-puncture kwaye ushiye umkhono we-puncture kudonga lwesisu.Umsebenzi ophambili we-puncture cannula kukuvumela zonke iintlobo zezixhobo zotyando zingene kumgodi wesisu.Oogqirha banokwenza utyando kwaye bagqibezele imisebenzi yotyando.
Ukuqonda ngokubanzi iimpawu kunye neenzuzo zesixhobo sokuhlatywa kwe-laparoscopic esilahlwayo
Ukwahlulwa kwamacala amabini esiphelo se-puncture core
Ngokohlalutyo lwamanani engxelo, iingxaki ezininzi zokugqobhoza zibangelwa lusulelo, ukopha, ukubhoboza umngxuma we-hernia kunye nokulimala kwezicubu.Bona le theyibhile ilandelayo:
Intloko engundoqo yesixhobo se-puncture ye-laparoscopy elahlayo iyabonakala kwaye i-conical, kwaye indlela yokwahlula ngokukhululekileyo yemela yamkelwa ukuba ithathe indawo yezicubu ezisikiweyo kunye nezicubu ezahluliweyo.Xa isixhobo sokugqobhoza singena eludongeni lwesisu, undoqo wokugqobhoza utyhala izicubu kunye nemithambo yegazi ecaleni kwemicu yethishu ukunciphisa umonakalo kudonga lwesisu kunye nemithambo yegazi.Xa kuthelekiswa nesixhobo sokubhoboza ngommese, kunciphisa malunga ne-40% yomonakalo we-fascia kunye ne-80% yokubunjwa kwe-puncture hole hernia.Yonke inkqubo yokuhlatywa kodonga lwesisu inokulawulwa ngokuthe ngqo nge-endoscope, Inokuphepha ukonakalisa izicubu zesisu, ukugcina ixesha lokusebenza kunye nokunciphisa intlungu yokusebenza.
Umsonto we-barb wangaphandle we-sheath
Umsonto ohlabayo wangaphandle wamkelwa kumphezulu we-sheath wesixhobo sokugqobhoza kwi-laparoscopy yesibini elahlayo ukunyusa ukulungiswa kodonga lwesisu.Xa i-core puncture ikhutshwe, amandla anyuka, anokuphucula ukulungiswa kodonga lwesisu malunga ne-90%.
45 ° ukuvuleka okuthambekele kwintloko ye-sheath
Ukuphela kwentloko yetyhubhu ye-sheath yesixhobo sokuhlatywa kwe-laparoscopic esilahlwayo sivulwa kwinqwelomoya etyekele kwi-45 °, elungele umboniso wokungena kwityhubhu ye-sheath kwaye ushiye isithuba sokusebenza kwesixhobo.
Iimodeli ezipheleleyo kunye neenkcukacha
Kukho iinkcukacha ezininzi zesixhobo sokubhoboza esilahlwayo se-laparoscopy yesibini: i-diameter yangaphakathi 5.5mm, 10.5mm, 12.5mm, njl.
Ngamafutshane, isixhobo sokuhlatywa kwe-laparoscopic esilahlwayo sinokunciphisa ukopha kwi-laparoscopic yotyando oluncinci, ukwenza izigulana zilulame ngokukhawuleza, zinciphise ixesha lotyando, kwaye zenze izigulana zibe ngabaxhamli botyando lwesisu olungephi.
Ixesha lokuposa: Apr-11-2022
