Yusim na Lukautim Laparoskop

Laparoskop i gat kamera monitoring sistem, CO 2 pneumoperitoneum, multifanksenel singel bipolar hai frikwensi lektrik naip na instramen sistem. Ol instramen bilong en i gat bikpela pe na i stret tru. Long yusim ol nupela instramen na ikwipmen, ol i mas kamapim ol 'scientific', 'systematic' na 'effective rules' na 'regulations' bilong mekim instramen i wok gut, mekim wok bilong en i kamap gutpela, mekim wok bilong en i stap gut na mekim sevis laip bilong en i stap longpela taim.

1 klinikel data

I gat 200 keis bilong TV laparoskopik operesen, we i gat 62 keis bilong 'cholecystectomy', 30 keis bilong 'appendectomy', 42 keis bilong 'uterine' na 'ovarian tumors', 10-pela kes bilong 'pulmonary bullectomy', 3-pela kes bilong 'splenic cyst resection', 21 kes bilong 'lung cancer tumors', 19 kes bilong 'lobectomy' kes, 15 kes bilong 'lobectomy' kes sigmoid 'colon resection', 1-pela keis bilong 'megacolon resection', 1-pela keis bilong 'liver rupture' na 'diaphragm repair', na 5-pela keis bilong 'adrenal pheochromocytoma resection'. Olgeta kes i bin pinisim operesen gut wantaim gutpela marasin bilong oraitim sik. Nogat wanpela instramen i bagarap long 200 operesen, we i ken mekim operesen i pinis gut.

2 rot bilong lukautim [1]

(1) Lukluk gut long lukautim aipis bilong 'celiac viewing angle endoscope'. Bihain long ol i klinim mira wantaim wanpela koten swab wantaim 95% alkohol, waipim i drai wantaim wanpela malumalum laplap na karamapim wantaim wanpela 'protective cap' bilong abrusim birua, na dispela bai mekim lens i no klia na i no klia tumas. (2) Pawa rop bilong kamera na kol lait sos i mas drai wantaim laplap i malumalum na i save pulim wara. Pawa rop i no ken foldim na putim insait long disk nating. (3) Lukautim 'puncture cone' long stopim sap bilong en long bagarap taim em i bam. Taim yu klinim sait hul bilong 'puncture cone sheath', presim long opim 'through port', wasim hul insait, draim wantaim koten rol, draim na putim oil long hap bilong join we i save muv, na holim strong 'flexibility' bilong 'switch' na 'joint' hap bilong en. (4) Taim ol i yusim na klinim ol kain kain instramen, ol i mas lukautim gut, na ol i no ken tromoi o bam wantaim. Yu no ken holim planti instramen long wanpela han bilong abrusim slait na bagarap. (5) Long olgeta kain 'catheter' na ol instramen we i gat hul insait long en, sapos i gat nid, wasim na rausim ol wantaim wanpela ful strip long stopim 'blockage' bilong 'blood scab', 'bile mud' na ol samting i stap yet long 'abdominal cavity flushing'. Bihain long klinim, klinim insait bilong hul wantaim wanpela longpela rol bilong sid bilong koten na putim oil long en. (6) Pneumoperitoneum nil i mas holim sap bilong nil. Em i gutpela long wasim wantaim 95% alkohol, wasim bihain long operesen, draim na putim oil long en. (7) Ol 'rubber caps' bilong 'puncture device' na 'converter' i mas kaunim na putim i stap bilong stopim lus. (8) Bihain long operesen, klinim olgeta kain instramen wantaim klinpela wara. Sapos i gat ol mak bilong blut na ol sua long hap bilong 'clamp', putim wantaim gutpela 'enzyme' o 'hydrogen peroxide' inap 10 ~ 20 minit, na bihain wasim isi isi na wasim wantaim 'yarn block' aninit long wara i ran, na bihain wasim i drai wantaim sofsof laplap na putim oil long en bilong mekim narapela operesen. (9) Mekim gutpela wok long rejistresen bilong yusim, na raitim gut wok bilong instramen long olgeta de, taim, sain bilong dokta bilong operesen, sain bilong nes i wok wantaim, na nem, krismas na nem bilong operesen bilong sikman.

3 menesmen sistem [2]

(1) Ol instramen na instramen bilong laparoskopik i stret na i gat bikpela pe. Olsem na, em i mas stap long wanpela ples we i no senis. Ol nes husat i save gut long straksa, wok prinsipol na pefomens bilong instramen, inap long putim na konektim gut ol kain kain instramen, save gut long teknikel pefomens na as bilong instramen, kliagut long ol stretpela rot bilong kilim ol binatang na ol samting bilong lukautim long yusim na mentenens proses, ol nes husat i gat spesel trening bai lukautim ol, na kamapim ol strongpela mentenens na menesmen sistem. (2) Bihain long olgeta operesen, ol i mas putim ol instramen insait long 'sterile water basin' bilong putim long tebol bilong operesen long taim stret bilong stopim ol blut i pas na ol pipia i no ken drai na hat long klinim. (3) Klinim gut ol kain kain instramen na ol instramen wanpela taim long wik. Bihain long klinim, sekim sapos ol instramen na ol instramen i bagarap na bagarap. Sapos ol spesel pat i lus, salim ol i go long sekim na stretim long taim stret. Putim oil long ol join na swit bilong ol instramen long mekim ol i stap gut. (4) Bihain long yusim olgeta taim, em i gutpela long sekim wok na wok bilong masin, putim ol samting bilong yusim long taim stret, rejistaim ol hevi long taim stret na salim i go long mentenens. (5) Kamapim wanpela 'precision instrument card' long tupela kopi: wanpela bilong dipatmen bilong ol ikwipmen na wanpela i pas long instramen, na rejistaim yusim bilong en. (6) Ol TV monita, vidio rekoda, masin bilong 'pneumoperitoneum' na ol lektrik kondensa i mas stap insait long wanpela mobail bokis we yu ken lokim bihain long yu wok long stopim ol long lus.

4 Risal

Stat long taim bilong minimally invasive operesen, ol medikel wokman i bin lain gut long yusim ol laparoskopik instramen na ol instramen bihainim ol rul na regulesen, bai ol i ken lukim olsem ol instramen na instramen i wok gut long wok na mekim wok i kamap gutpela moa.

5 ekspiriens

(1) Bikos long 'sound management system', lus bilong ol instramen na ol instramen i go daun. (2) Em i bikpela samting long yusim na menesim gut ol instramen na instramen bilong TV laparoskopi long mekim em i wok gut na mekim sevis laip bilong en i stap longpela taim. Olsem na, ol spesel wokmanmeri bai lukautim dispela wok. (3) Skilful menesmen bilong pefomens na opereting prosedur bilong instramen em i ki bilong sakses bilong operesen. (4) Ol i mas mekim 'laparoskopik operesen' insait long rum bilong operesen we i no inap muv tumas, sapos nogat em i isi long mekim ol hap bilong instramen i lus na pundaun, na ol i mas putim 'voltage stabilizing device' bilong abrusim ol samting i bagarapim na bagarapim piksa. (5) Olgeta instramen na ol samting bilong wok i mas kisim, putim na klinim gut na i stap gut. Bihain long yusim instramen, lukluk gut long sekim sapos olgeta hap bilong en i gutpela na i no gat hevi, pasim swit na karamapim bilong pasim das.