https://www.laparoscopyhospital.com/v5.htm

Daim ntawv thov ntawmlaparoscopic cannulastau txuas ntxiv dhau ib txwm kev phais thiab gynecology rau urology, phais thoracic, phais menyuam yaus, phais bariatric thiab metabolic, thiab lwm yam kev qhuab qhia. Cov chaw kho mob sib txawv ua rau muaj qhov sib txawv ntawm cov kev ua haujlwm ntawm cannula, cov lus qhia tshwj xeeb thiab kev ua haujlwm, tsav cov khoom mus rau qhov tshwj xeeb thiab siab - qauv tsim.

Hauv kev phais dav dav, laparoscopic cholecystectomy, appendectomy thiab kho hernia tseem yog daim ntawv thov tseem ceeb rau laparoscopic cannulas. Cov txheej txheem no feem ntau xav tau 3 mus rau 5 qhov chaw nkag, nrog cov cannulas li ntawm 5 hli mus rau 12 hli hauv txoj kab uas hla yog qhov siv dav tshaj plaws. Nyob rau hauv xyoo tas los no, kev loj hlob ntawm Laparo-Endoscopic Single-Site Surgery (LESS) rau cholecystectomy thiab lwm yam kev ua haujlwm tau ua rau muaj kev loj hlob ntawm kev lag luam muaj zog ntawm ntau-channel ib zaug-chaw nres nkoj trocars - cov khoom siv uas tso cai rau ntau lub twj paj nruag kom dhau los ntawm 5 mmnula ib zaug. Cov khoom zoo li no xa cov txiaj ntsig zoo nkauj zoo nkauj thiab tsis tshua muaj mob tom qab, tab sis lawv ua rau muaj kev sib tw ntau dua, feem ntau suav nrog kev sib tsoo thiab kev poob ntawm kev phais triangulation.

Gynecological laparoscopic phais yog lwm lub lag luam loj, npog hysterectomy, zes qe menyuam cyst resection thiab kev kho tsis muaj menyuam. Cov txheej txheem gynecological xav tau siab heev puncture precision thiab kev nyab xeeb kom tsis txhob raug mob rau cov hlab ntsha hauv plab, lub tsev menyuam thiab cov hnyuv. Raws li, cannulas haum nrog cov lus qhia pom lossis cov tshuab kho qhov muag pom tau dav dav hauv daim teb no. Lub caij no, cov cuab yeej tshwj xeeb rau qhov chaw mos Natural Orifice Transluminal Endoscopic Surgery (vNOTES) tab tom txhim kho kom txo qis kev raug mob ntawm lub cev sab nraud.

Cov txheej txheem urological xws li laparoscopic radical prostatectomy thiab ib nrab nephrectomy tau teeb tsa cov qauv nruj rau kev txiav qhov tseeb thiab cannula stability. Muab qhov kev hloov pauv ntawm cov twj paj nruag nrog ntau lub kaum ntse ntse thiab kev ua haujlwm thaum lub sijhawm ua haujlwm, cannulas nruab nrog ntau lub sealing li qub, zoo heev airtight kev ua tau zoo thiab cov cuab yeej sib pauv ceev tau txais qhov zoo sib xws. Tsis tas li ntawd, kev phais me nyuam laparoscopic yuav tsum tau me dua - txoj kab uas hla cannulas (piv txwv li, 3 mm) vim yog cov menyuam yaus cov qauv kev sib xyaw ua ke thiab qhov chaw ua haujlwm tsawg, nrog rau cov qauv nruj dua rau kev tswj kev raug mob.

Cov teb tshiab suav nrog kev phais mob bariatric thiab metabolic (xws li lub tes tsho gastrectomy) thiab neeg hlau -pab laparoscopy tau dhau los ua tus tsav tsheb loj hlob tshiab rau cannulas. Cannulas siv hauv kev phais bariatric xav tau kev txhim kho kom ruaj khov kom nkag mus rau cov phab ntsa hauv plab. Rau kev phais neeg hlau, cannulas yuav tsum ua tiav kev sib raug zoo nrog cov cuab yeej robotic interfaces kom paub meej meej kev sib kis ntawm caj npab neeg hlau.

Mus rau pem hauv ntej, nrog rau kev nce qib hauv cov txheej txheem phais thiab kho cov kab mob hloov zuj zus mus, laparoscopic cannulas yuav txuas ntxiv txhim kho mus rau qhov tsis txaus ntseeg, kev txawj ntse thiab kev tshwj xeeb tob. Cov neeg tsim khoom yuav tsum ua raws li cov kev hloov kho tshiab ntawm cov kev kho mob phais thiab sib koom tes nrog cov kws phais mob los tsim cov khoom tshiab uas daws cov kev xav tau ntawm cov chaw kho mob uas tsis tau ntsib.