Ukusetyenziswa kunye noLondolozo lweLaparoscope

I-Laparoscope yenziwe ngenkqubo yokubeka iliso yekhamera, i-CO 2 pneumoperitoneum, i-multifunctional single bipolar high frequency knife yombane kunye nenkqubo yesixhobo. Izixhobo zayo zibiza imali eninzi kwaye zichanekile. Ukusetyenziswa kwezixhobo ezitsha kunye nezixhobo, imithetho kunye nemimiselo yesayensi, ecwangcisiweyo kunye nesebenzayo kufuneka iqulunqwe ukuqinisekisa ukusebenza ngokuqhelekileyo kwesixhobo emsebenzini, ukuphucula ukusebenza kakuhle kwayo, ukuyigcina kwimeko yokusebenza kakuhle kunye nokwandisa ubomi bayo benkonzo.

Idatha ye-1 yeklinikhi

Kwakukho iimeko ezingama-200 zotyando lwe-laparoscopic kumabonwakude, kubandakanywa iimeko ezingama-62 zecholecystectomy, iimeko ezingama-30 ze-appendectomy, iimeko ezingama-42 zethumba lesibeleko kunye ne-ovarian, iimeko ezili-10 ze-pulmonary bullectomy, iimeko ezi-3 zokuphuma kwe-splenic cyst resection, iimeko ezingama-21 zomhlaza wemiphunga, iimeko eziyi-19 zecolon of resection of lobectomy,1 i-resection, i-1 ityala lokuphuka kwesibindi kunye nokulungiswa kwe-diaphragm, kunye neemeko ze-5 ze-adrenal pheochromocytoma resection. Zonke iimeko zawugqiba ngempumelelo umsebenzi ngesiphumo esiqinisekileyo sonyango. Akukho kusilela kwesixhobo kwenzeka kwimisebenzi engama-200, enokuqinisekisa ukugqitywa kakuhle komsebenzi.

2 indlela yokulungisa [1]

(1) Nika ingqalelo ekukhuselweni kwe-eyepiece ye-endoscope yokujonga i-endoscope. Emva kokuba isibuko sihlanjululwe nge-cotton swab kunye ne-95% yotywala, yisule yome ngelaphu elithambileyo kwaye uyigubungele nge-cap yokukhusela ukuphepha ukungqubana, okubangela ukuba i-lens ingabonakali kwaye ichaphazele ukucaca. (2) Intambo yamandla yekhamera kunye nomthombo wokukhanya obandayo iya komiswa ngelaphu elithambileyo nelifunxayo. Intambo yamandla ayiyi kusongwa kwaye iya kufakwa kwidiski ngaphandle kwe-angle. (3) Khusela ikhowuni yokugqobhoza ukuze uthintele ukuba bukhali kwayo kungachatshazelwa kukungqubana. Xa ucoca umngxuma osecaleni we-puncture cone sheath, cinezela ukuvula i-port, uhlambulule umngxuma ongaphakathi, womise nge-cotton roll, yome kunye ne-oyile indawo eshukumayo yejoyinti, kwaye ugcine ukuguquguquka kokutshintsha kwayo kunye nenxalenye edibeneyo. (4) Xa izixhobo ezahlukeneyo zisetyenzisiwe kwaye zicocwe, ziya kuphathwa ngononophelo, kwaye aziyi kuphoswa okanye zingqubane. Izixhobo ezininzi aziyi kubanjwa ngesandla esinye ukunqanda ukutyibilika kunye nomonakalo. (5) Kuzo zonke iintlobo zeekhathetha kunye nezixhobo ezinomngxuma ongaphakathi, ukuba kukho imfuneko, zigungxule kwaye uzigungxule ngomtya opheleleyo ukunqanda ukuvaleka kokhwekhwe lwegazi, udaka lwenyongo kunye neentsalela ezigungxulwayo zesisu. Emva kokucoca, sula umgodi wangaphakathi kunye nomqulu omde wembewu yekotoni kunye neoli. (6) Inaliti yePneumoperitoneum kufuneka igcine ubukhali benaliti. Kungcono ukuyihlamba nge-95% yotywala, uhlambe emva kokusebenza, uyomise kwaye uyifake ioli. (7) Iminqwazi yerabha yesixhobo sokugqobhoza kunye nesiguquli siya kubalwa kwaye sigcinwe ukunqanda ilahleko. (8) Emva kotyando, coca zonke iintlobo zezixhobo ngamanzi acocekileyo. Ukuba kukho amabala egazi kunye nokhwekhwe kwindawo yokubamba, yicwilise nge-enzayimi efanelekileyo okanye i-hydrogen peroxide i-10 ~ 20min, uze wosule ngobunono kwaye wome kwaye uhlambe ngebhlokhi yentambo phantsi kwamanzi agelezayo, uze wosule ngelaphu elithambileyo kwaye uyifake i-oyile kumsebenzi olandelayo. (9) Yenza umsebenzi omhle ekubhaliseni ukusetyenziswa, kwaye ugcwalise ngokucophelela ukusebenza kwemihla ngemihla yesixhobo, ixesha, utyikityo logqirha osebenzayo, umsayino womongikazi onentsebenziswano, kunye negama, ubudala kunye negama lokusebenza lomguli.

3 inkqubo yolawulo [2]

(1) Izixhobo zeLaparoscopic zichanekile yaye zibiza imali eninzi. Ngoko ke, kufuneka ibekwe kwindawo esisigxina. Abahlengikazi abaqhelana nesakhiwo, umgaqo wokusebenza kunye nokusebenza kwesixhobo, banokufaka ngobuchule kwaye badibanise izixhobo ezahlukeneyo, baqonde ukusebenza kobugcisa kunye nenjongo yesixhobo, baqonde iindlela ezichanekileyo zokubulala iintsholongwane kunye nezilumkiso kwinkqubo yokusetyenziswa kunye nokugcinwa kwayo kuya kulawulwa ngabahlengikazi abaqeqeshwe ngokukodwa, kwaye baqulunqe ukugcinwa okungqongqo kunye neenkqubo zokulawula. (2) Emva komsebenzi ngamnye, izixhobo ziya kufakwa kwisitya samanzi esingenazintsholongwane ukuze sitofe kwitafile yokusebenza ngexesha lokukhusela amahlwili egazi kunye neentsalela ekumisweni kwaye kunzima ukuzicoca. (3) Coca ngokucokisekileyo izixhobo nezixhobo ezahlukahlukeneyo kanye ngeveki. Emva kokucoca, khangela ukuba izixhobo kunye nezixhobo zineziphene kwaye zonakaliswe. Kwimeko yokulahleka kweendawo ezisecaleni, zingenise ukuze zihlolwe kwaye zilungiswe kwangexesha. I-oyile amajoyina kunye nokutshintsha kwezixhobo zokugcina ukuguquguquka kwazo. (4) Emva kokusetyenziswa ngalunye, kuyimfuneko ukujonga ukusebenza kunye nokusebenza komatshini, ukongeza izinto ezidliwayo ngexesha, ukubhalisa iingxaki ngexesha kwaye uzithumele kwisondlo. (5) Ukuseka ikhadi lesixhobo sokuchaneka ngokuphindwe kabini: enye yesebe lezixhobo kwaye enye iqhotyoshelwe kwisixhobo, kwaye ubhalise ukusetyenziswa. (6) Iimonitha zikamabonwakude, iirekhoda zevidiyo, oomatshini bepneumoperitoneum kunye neecondenser zombane kufuneka zigcinwe kwibhokisi ehambayo etshixwayo emva kokusebenza ukuze kuthintelwe ilahleko.

Iziphumo ezi-4

Ekubeni utyando oluncinci, abasebenzi bezonyango baye baqonda ngokuchanekileyo ukusetyenziswa kwezixhobo ze-laparoscopic kunye nezixhobo ngokwemigaqo nemimiselo, ukwenzela ukuba kuqinisekiswe ukusebenza okuqhelekileyo kwezixhobo kunye nezixhobo emsebenzini kunye nokuphucula ukusebenza kakuhle.

5 amava

(1) Ngenxa yenkqubo yokulawula isandi, ukulahleka kwezixhobo kunye nezixhobo kuyancitshiswa. (2) Kubaluleke kakhulu ukusebenzisa ngokuchanekileyo kunye nokulawula izixhobo kunye nezixhobo ze-TV laparoscopy ukuyigcina ikwimeko efanelekileyo yokusebenza kunye nokwandisa ubomi bayo benkonzo. Ngoko ke, iya kulawulwa ngabasebenzi abakhethekileyo. (3) Ukulawula ngobuchule ukusebenza kunye neenkqubo zokusebenza kwesixhobo ngundoqo kwimpumelelo yomsebenzi. (4) Utyando lwe-Laparoscopic luya kwenziwa kwigumbi lokusebenza elimiselweyo ukuphepha ukuhamba kakhulu, ngaphandle koko kulula ukubangela ukukhulula kunye nokuwa kwezixhobo zesixhobo, kwaye kuya kuxhotyiswa ngesixhobo sokuzinzisa i-voltage ukuphepha ukuphazamiseka kunye nefuthe ekucaciseni umfanekiso. (5) Zonke izixhobo kunye nezixhobo ziya kuthathwa, zibekwe kwaye zicocwe ngobunono kwaye ngokuzinzileyo. Emva kokuba isixhobo sisetyenzisiwe, qaphela ukujonga ukuba zonke iinxalenye ziphelele kwaye azinasiphako, vala ukutshintshela kwaye ugubungele ukukhusela uthuli.