Semicircular working sleeve for single-hole laparoscope
Technical field
The present invention relates to a kind of Minimally Invasive Surgery equipment, be specifically related to a kind of semicircular working sleeve for single-hole laparoscope.
Background technology
Laparoscopic technique passes through at patient's abdomen wall puncture or little otch, insert laparoscopic instrument from puncture working cannula, with full abdominal cavity of gas or extraperitoneal space, under television monitoring, the operation of finishing excision or repairing internal organs, laparoscopic technique is the important milestone on 20th century medical development history.
Laparoscopic technique was applied to Urology Surgery in 1979, finished laparoscopic procedure and need insert with the puncture working cannula more than three at stomach wall at least.Be essential entirely at five working columns of abdomen wall puncture as bladder, a plurality of puncture working cannulas have bigger damage to patient's stomach wall, and the postoperative aesthetic is poor.The single-hole laparoscopic of Chu Xianing in recent years, in order to reduce patient's injury of abdominal wall and to consider the postoperative aesthetic, at working column of stomach wall umbilicus week puncture, utilize handle place sealing cap to be separated into three holes, place peritoneoscope and two apparatuses, can finish easier operation, as the intraperitoneal gallbladder removal, through abdominal channels nephrectomy etc.But described single-hole laparoscopic working column is rounded, and instrumentation inconvenience hinders mutually, and because of not putting into the 3rd apparatus, operation method and operation kind is very limited, and operation easier is big, specification requirement is high, can't finish complicated operation.Convenient and can insert the 3rd simultaneously for two hand operateds apparatus, need increase the aperture of circular working column again as far as possible, the increase in aperture is to the corresponding increase of abdominal injury.
Summary of the invention
Technical problem to be solved by this invention provides a kind of little to injury of abdominal wall, can put into a plurality of apparatuses simultaneously, operation technique single-hole laparoscopic easily can be applicable to bigger pneumoretroperitoneum operation of operation easier and preceding abdominal operation with the semi-circular working column of a plurality of passages.
For achieving the above object, the technical scheme of taking is: semicircular working sleeve for single-hole laparoscope, comprise handle and the sheath that is connected with described handle, described handle end face is equipped with a plurality of passages and gas injection valve and air intake valve, described gas injection valve communicates with the inflatable bladders gas circuit that places the inboard concave surface of described sheath, described air intake valve is connected with carbon dioxide air source, it is characterized in that: described handle, sheath and inflatable bladders are semi-circular.
Described handle end face is semi-circular or fusiformis.
The lower end and the silica gel tube of described passage join, and described silica gel tube is covered by the elastic soft material that is connected with semicircular sheath.
The external anti back-flow sealing cap of the channel end of described handle end face.
Described gas injection valve has unidirectional gas lobe, and gas-tight is external to overflow.
Described silica gel tube is built-in with the anti-gas-leak lobe, and described anti-gas-leak lobe is in-line or triangular in shape or rounded.
Beneficial effect of the present invention is: described handle end face is semi-circular, and semi-circular design has increased the area and the locus of placing a plurality of passages, can put into a plurality of apparatuses.Semicircular sheath, little to injury of abdominal wall when stomach wall enters the abdominal cavity, otch is beneficial to healing, but the multichannel instrumentation, the apparatus activity space obviously increases.The flexible soft material of the mouth of pipe of silica gel tube covers, and makes semicircular working sleeve for single-hole laparoscope enter incision of abdominal wall easily, and resistance is little.The present invention also can be applicable to the bigger operations of operation easier such as pneumoretroperitoneum operation and preceding abdominal operation.
Description of drawings
The invention will be further described below in conjunction with the drawings and specific embodiments.
Fig. 1 is perspective view of the present invention (a semi-circular handle);
Fig. 2 is another embodiment of the present invention structural representation (a fusiformis handle);
Fig. 3 is a silica gel tube passage and a word anti-gas-leak lobe sketch map;
Fig. 4 is silica gel tube passage and inverted triangle anti-gas-leak lobe sketch map;
Fig. 5 is silica gel tube passage and circular anti-gas-leak lobe sketch map.
The specific embodiment
Following examples are that example describes with single-hole laparoscopic with the semi-circular working column of multichannel.
The semicircular working sleeve for single-hole laparoscope structure as shown in Figure 1, comprise handle 7 and the sheath 2 that is connected with described handle 7, described handle 7 end faces are equipped with a plurality of passages 1 and gas injection valve 5 and air intake valve 6, described gas injection valve 5 communicates with inflatable bladders 3 gas circuits that place described sheath 2 inboard concave surfaces, described air intake valve 6 is connected with carbon dioxide air source, and it is characterized in that: described handle 7, sheath 2 and inflatable bladders 3 are semi-circular.
Described handle 7 end faces are semi-circular (Fig. 1) or fusiformis (Fig. 2).
The lower end of described passage 1 and silica gel tube 8 join, and described silica gel tube 8 is covered by the elastic soft material 4 that is connected with semicircular sheath 2, makes to enter incision of abdominal wall easily.
The external anti back-flow sealing cap 10 in passage 1 end of described handle 7 end faces.
Described gas injection valve 5 has unidirectional gas lobe, and gas-tight is external to overflow.
Described silica gel tube 8 is built-in with the anti-gas-leak lobe, and described anti-gas-leak lobe is in-line 9 (seeing shown in Figure 3) or 11 (Fig. 4) triangular in shape or rounded 12 (Fig. 5).
The gas injection valve 5 of handle 7 end faces communicates with described inflatable bladders 3 gas circuits, can inject or gas bleeding toward inflatable bladders 3 when gas injection valve 5 inserts syringe, because of gas injection valve 5 has unidirectional gas lobe, overflows but gas-tight is external when extracting syringe; The described handle 7 end faces outside is equipped with the air intake valve 6 that is connected with carbon dioxide air source, connects pneumoperitoneum apparatus on the carbon dioxide air source, and carbon dioxide enters intraperitoneal through semicircular sheath 2.
Described inflatable bladders 3 is semi-circular, and inflation back is at intraperitoneal sealing incision of abdominal wall, prevents gas leakage and prevents that working column from deviating from.
The semi-circular design of handle 7 has increased the space of placing a plurality of passages, can be in the described passage 1 by various mis instruments, and five passages 1 shown in Figure 1 can be placed five instrumentations simultaneously, can be applied to the Minimally Invasive Surgery of big difficulty.When a sight glass, because of a plurality of passages are arranged, interchangeable position is beneficial to easy to operate during two instrumentations.
Sheath 2 semi-circular designs, it is little to enter injury of abdominal wall, and the apparatus activity space is big.
As mentioned above, application scenario of the present invention is not limited to single-hole laparoscopic surgery, also can be used as various Minimally Invasive Surgery equipment such as single hole pneumoretroperitoneum videoendoscopic surgery working column, preceding laparoscopic surgery working column.Described handle 7 end surface shape and semicircular sheath 2 flexibility visual operation application scenarios and change to some extent, as shown in Figure 2, handle 7 end surface shape of the present invention are fusiformis, as the semi-circular working column of single hole pneumoretroperitoneum multichannel.Handle 7 end faces are the fusiformis design, are beneficial to approaching side stomach wall operation when pneumoretroperitoneum mirror one shape otch.Passage semicircular sheath 2 semi-circular dwindling, an approximate shape is camber slightly, is that to contain the semicircular sheath 2 approaching side stomach walls of silica gel tube 8 when entering a shape otch easy.The rear is a semicircular sheath 2, and the place ahead does not have the sheath restriction, makes the apparatus activity space big.Little otch, multichannel, the apparatus activity space is big, and surgical injury is little, otch is beneficial to healing.
More than disclosed best implementation method of the present invention, be intended to describe and the technical scheme that the present invention relates to is described, so that those of ordinary skill in the art can understand and apply the invention.But should be understood that the present invention is not limited to the embodiment of above-mentioned discussion, based on the present invention enlightenment, any conspicuous conversion or be equal to substitute and also should be considered to fall into protection scope of the present invention.