Yu save long yusim ol instramen we i ben na i stret long 'single port access surgery'?
Jan 25, 2023
Ol bikpela tok:Singel port akses operesen, ol instramen, laparoskopi
Single-port access (SPA) operesen em i wanpela nupela operesen teknik bilong kamapim klostu "makles" operesen. SPA operesen i luk olsem em i seif na inap long kamap, tasol pasin bilong soim na lukautim ol 'tissue' i no inap long kamap gutpela. Olsem na, ol i skelim wok bilong SPA operesen wantaim ol narapela narapela instramen na konvensenel laparoskopi.
Fifteen participants (>50 'laparoscopic procedures') i bin mekim tripela besik wok (translokesen, 'clip & cut', na 'tissue dissection', bihainim ol as tingting bilong 'laparoscopic surgery') insait long 'box trainer' insait long 'laparoskopi' na SPA seting wantaim tupela (konvensenel) kros na ben instramen. Olgeta patisipen i pinisim wanpela kwestenea, we i askim tingting bilong ol long yusim ol instramen na wanem samting ol i laikim.
Translokesen i bin kamap hariap tru long tupela laparoskopi na SPA krosim winim SPA kurv (min, 130.3 na 137.7 vs. 170.7 sek; p < 0.001 na p=0.005). Ol asua tu i no bikpela tumas long laparoskopi na SPA krosim (min, 0.9 na 1.2 vs. 1.6), tasol i no bikpela. Taim bilong pinisim 'dissection' i klostu wankain namel long 'laparoskopi' na 'SPA curved settings', tasol i kisim longpela taim long SPA i krosim, maski i no bikpela tumas (148.1 na 150.8 vs. 179.5 sek). Ol asua i no wankain namel long laparoskopi na SPA krosim (min, 0.5 vs. 1.27; p=0.044). Fotin patisipen i laikim yet konvensenel laparoskopi na wanpela SPA ben. Ol i ting tu olsem SPA ben i gutpela moa long krosim (min, 3.6 vs. 2.47; p=0.003) na olsem eksposesen i gutpela moa long ben (min, 3.4 vs. 2.27; p=0.002).
Maski konvensenel 'laparoskopi' i luk olsem em i gutpela long katim na soim gut ol 'tissue', 'single-port access surgery' i soim olsem em inap long mekim. Moa yet long wok bilong katim ol 'tissue', i no gat bikpela senis long taim o asua namel long konvensenel laparoskopi na SPA operesen, we ol i yusim ol spesel disain instramen we i gat ol 'curve'. Maski ol lain i laikim 'conventional laparoskopy', dispela inap long kamapim tingting bilong ol long kisim moa taim SPA operesen i kamap moa na ol i yusim long klinik seting.
