Ukuqeqeshwa kumakhono okusebenza kwebhokisi lokuqeqeshwa lokulingisa
Ukuqeqeshwa kokuhlolwa kwezilwane
Ngemuva kokwazi amakhono ayisisekelo okusebenza kwemisebenzi ehlukahlukene ye-laparoscopic ebhokisini lokuqeqesha, ukuhlolwa kokusebenza kwezilwane kungenziwa.Inhloso eyinhloko ukujwayelana namakhono ayisisekelo okusungulwa kwe-pneumoperitoneum, ukuhlukaniswa kwezicubu, ukuvezwa, ukuxhuma, ukuthunga kanye ne-hemostasis;Yazi ukusetshenziswa kwezinsimbi ezikhethekile ezihlukahlukene ze-vivo kanye nokusebenza kwezitho ezihlukahlukene ze-vivo;Qhubeka uqinisa ukubambisana kokusebenza phakathi komsebenzisi nomsizi.
Ngokuvamile, izilwane ezinkulu njengezingulube noma izinja zikhethwa.Okokuqala, iziguli zabulawa i-anesthetized ngomjovo we-intraperitoneal, khona-ke isikhumba salungiswa, kwasungulwa isiteshi se-venous, futhi i-anesthesiologist yanikeza i-endotracheal intubation inhalation anesthesia, bese isikhundla somzimba silungisiwe.
Ngokuvamile thatha indawo yangemuva.
Zijwayeze ukubhoboza nokusika ukuze uthole i-pneumoperitoneum
Ngemuva kokwakhiwa kwe-pneumoperitoneum, okokuqala ukuqeqeshwa kwezitho zesisu nokuqashelwa kokuma.Ukuqinisekisa ukuma kwezitho zangaphakathi ezihlukahlukene ngaphansi kwe-laparoscopy kumqapha kuyisinyathelo esibalulekile ekusetshenzisweni kokuhlinzwa.Lokhu akunzima kodokotela abanolwazi lwe-anatomical kanye nokuhlinzwa okuvamile, kodwa izithombe ezitholakala ngohlelo lokuqapha lwe-TV zilingana nalezo ezibonwa ngombono we-monocular futhi azinawo umqondo we-three-dimensional, ngakho kulula ukwenza amaphutha ekwahluleleni ibanga. , esadinga ukuqeqeshwa okuthile kokuzijwayeza.Kuyo yonke inqubo yokuhlinzwa kwe-laparoscopic, kubaluleke kakhulu kumsizi ophethe isibuko ukuze aqinisekise isiqondiso esifanele sombono wokuhlinza, ngaphandle kwalokho kuzoholela ekwahluleleni okungalungile komqhubi.Okulandelayo, zijwayeze ukubhoboza amanye ama-cannula ngosizo lwe-laparoscopy.
Prakthiza i-laparoscopic ureterotomy kanye ne-suture, i-laparoscopic nephrectomy kanye ne-laparoscopic partial cystectomy njengoba kudingeka.Amasu we-Hemostatic kufanele abe ukugxila kokuqeqeshwa.Esigabeni sokugcina sokuhlinzwa, imithambo yegazi ingalimala ngamabomu futhi kungenziwa izindlela ezihlukahlukene ze-hemostatic.
Ukufunda komtholampilo
Ngemva kokuphumelela ukuqeqeshwa kwebhokisi lokuqeqeshwa lokulingisa elingenhla kanye nokuhlolwa kwezilwane, abaqeqeshwayo ngokuyisisekelo bajwayele amathuluzi ahlukahlukene okuhlinzwa kwe-laparoscopic futhi banolwazi lwamakhono ayisisekelo okuhlinzwa okuhlinzwa kwe-laparoscopic.Isinyathelo esilandelayo siwukungena esigabeni sokufunda emtholampilo.Abaqeqeshwayo bazohlelwa ukuthi bavakashele zonke izinhlobo zokuhlinzwa kwe-laparoscopic ye-urological futhi bajwayele ukuma komzimba okukhethekile kanye nendlela yokuhlinzwa okuvamile kwe-urological laparoscopic.Wabe eseya esiteji ukuze abambe isibuko sabahlinzayo abanolwazi lwe-laparoscopic, kancane kancane washintsha ukuze akwazi ukubambisana nokuhlinzwa ngokushelela, futhi waqala ukuqedela ukuhlinzwa okulula kwe-laparoscopic ngaphansi kokuqondisa kodokotela abaphakeme, njenge-laparoscopic spermatic vein ligation.
Isikhathi sokuthumela: May-20-2022
