Umqeqeshi we-Laparoscopickuthuthukisa amakhono okuhlinzwa
Sebenzisa umqeqeshi we-laparoscopic olula ukuze uthole ukuqeqeshwa kokusebenza okuyisisekelo ngaphansi kwesibonakhulu
Lokhu kuhlolwa kokufundisa kuhloswe kakhulu emaqenjini amabili odokotela abavuselelayo ababambe iqhaza ekilasini lokuthuthukisa odokotela abahambela esiFundazweni saseShaanxi emnyangweni wethu kusukela ngo-2013 kuya ku-2014. Bonke odokotela bahambela odokotela bokuhlinzwa okujwayelekile ezibhedlela zasesekondari abanolwazi oluthile lokusebenza, futhi bonke banolwazi oluthile lokuhlinzwa kwe-laparoscopic.Isamba sabantu abangama-32, abayi-16 kubo (abaqokwe njengeqembu A) bathole ukuqeqeshwa kokusebenza kwabaqeqeshi be-laparoscopic amahora ama-2 nsuku zonke izinyanga ezi-2 ngaphezu komsebenzi womtholampilo wansuku zonke.Abanye abangu-16 (iqembu B) balandela ngokuqondile othisha ababehambisana nabo ukuze benze ukuhlinzwa okuhlukahlukene nsuku zonke, kuhlanganise nokuhlinzwa kwe-laparoscopic.Umqeqeshi osetshenziswe lesi sikhathi ungumqeqeshi olula we-laparoscopic, ohlanganisa i-chassis, ikhamera ehlehliswayo neqondisayo, isibonisi kanye nezinsimbi ze-laparoscopic.
Izifanekiso ezahlukahlukene zingafakwa ebhokisini lomqeqeshi ukuze kuqedelwe ukuqeqeshwa kokusebenza okuyisisekelo okulandelayo:
(1) ukucosha ubhontshisi wesoya ngaphansi kwesibuko: idlanzana likabhontshisi wesoya kanye nebhodlela lomlomo eliwumngcingo kubekwa epuletini elingezansi lebhokisi lokuziqeqeshela, futhi ubhontshisi wesoya uthuthelwa ebhodleleni lomlomo eliwumngcingo ngamunye ngamunye elibanjwa ngesandla kwesokunxele nakwesokudla. ukubamba udladla ukuze uqeqeshe amakhono anembile okuma nokuma.
(2) Ukuxhunyaniswa kwemithambo yegazi yokwenziwa: lungisa ishubhu lepulasitiki lokwenziwa epuletini elingaphansi, ubambe intambo ngezandla zombili, udlulise intambo bese ubopha ifindo, futhi uqeqeshe ukuxhumanisa ukunyakaza kokubamba isikhali ngezandla zombili.
(3) I-Suturing ngaphansi kwesibonakhulu: isikhumba sokwenziwa sisika kufakwa epuletini elingezansi futhi liboshwe futhi lifakwe ifindo ngaphansi kwesibonakhulu, elilungele ukuhlinzwa okuyisisekelo kokuthunga ngaphansi kwesibonakhulu.Izinhlobo ezintathu zokuqeqeshwa kokusebenza okuyisisekelo ziyizivivinyo eziqhubekayo.Isinyathelo sesibili sokuqeqeshwa kwe-artificial ligation ligation singenziwa kuphela lapho izandla zombili zithatha ubhontshisi wesoya ngokushintshana ngama-20 / min.Ukuqeqeshwa kwe-Suture kungenziwa kuphela ngemuva kokubopha izikhathi ezi-5 / min ngaphansi kwe-microscope.I-suture idinga ukuthungwa oku-3, ukufiphaza nokusika intambo ukuze kuqedwe kungakapheli imizuzu eyi-10.Ngemva kokuqeqeshwa okungaphazamiseki kwansuku zonke, abaqeqeshwayo bangahlangabezana nezimfuneko ezingenhla phakathi nenyanga eyodwa.
Ekugcineni, labo abaphumelele ukuhlolwa bazohlelwa ukuthi basebenzise isilwane sokuhlola (unogwaja).Ngemuva kwe-anesthesia, udonga lwesisu lukanogwaja luzosikwa futhi lubekwe ebhentshini lokuhlola:
(1) Veza ishubhu lamathumbu, usike ithumbu lamathumbu ngaphansi kwesibonakhulu esivamile futhi uhlobe ishubhu lamathumbu ngokuqhubekayo.
(2) Sika i-renal capsule kanye ne-lateral peritoneum, i-double ligate futhi unqume umthambo wezinso nomthambo, bese uqedela i-nephrectomy.Ngokusebenzisa lezi zivivinyo ezingenhla, inhloso yokuqeqesha amakhono okusebenza afana ne-anatomy, ukuhlukanisa, ukusika, ukufiphaza kanye nokuthunga ngaphansi kwe-endoscope ingafinyelelwa.
Isikhathi sokuthumela: Jun-03-2022
