CN104720940B - A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy - Google Patents

A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy Download PDF

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Publication number
CN104720940B
CN104720940B CN201510179606.0A CN201510179606A CN104720940B CN 104720940 B CN104720940 B CN 104720940B CN 201510179606 A CN201510179606 A CN 201510179606A CN 104720940 B CN104720940 B CN 104720940B
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China
Prior art keywords
bile duct
air bag
injury
extension tube
treated
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Expired - Fee Related
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CN201510179606.0A
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Chinese (zh)
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CN104720940A (en
Inventor
吕文平
卢实春
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Chinese PLA General Hospital
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Chinese PLA General Hospital
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Priority to CN201510179606.0A priority Critical patent/CN104720940B/en
Publication of CN104720940A publication Critical patent/CN104720940A/en
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Expired - Fee Related legal-status Critical Current
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Abstract

A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy of the present invention, described rack body profile is capsule shape air bag, described air bag is annular, described gasbag ektexine is provided with extension tube attached, described extension tube attached connects with described inside air bag, and the described extension tube attached other end connects aerating device, Pressure gauge.Use the remote proximal bifiary ducts at air bag expansion bile duct injury position, block the self-evolution process of degree of injury and scope, it is to avoid gallbladder leakage produces, and reduces the chemical stimulation of bile.The pressure produced and silicone paint prevention of scar is used to organize the formation of.Ring-type hanger can secure the stand to occur at bile duct injury, it is to avoid support slips or gallbladder in-pipe.The generation of the stenosis of bile duct caused after avoiding peritoneoscope bile duct injury, the problem high to solve injury repairing operative failure rate.

Description

A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy
Technical field
The present invention relates to a kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy.
Background technology
In recent years, cholelithiasis sickness rate is in ascendant trend year by year, and laparoscopic cholecystectomy has spread to respectively Basic hospital, consequent peritoneoscope bile duct injury incidence rate the most substantially becomes ascendant trend.Laparoscopic cholecystectomy The produced bile duct injury incidence rate of excision is between 0.1%-2.0%.Owing to the initial stage is dealt with improperly, bile duct is serious Narrow, cause second phase biliary tract prosthesis mortality high, also need to for this repeatedly perform the operation, some cases is very To End-stage liver disease occurs, it has to implement liver transplantation.
Electric heating burn during the mechanism of stenosis of bile duct mainly laparoscopic cholecystectomy, bile duct injury are led Caused by factor, the bile duct of formation and the scar tissues of surrounding tissue thereof such as the gallbladder leakage caused.For avoiding stenosis of bile duct, Expand remote proximal bifiary ducts, retain Oddi sphincteral biliary tract prosthesis for the second phase and create conditions, thus be gallbladder Pipe damage provides a preferable treatment means, needs one badly and causes bile duct to damage for laparoscopic cholecystectomy The biliary tract prosthesis of wound treatment, to solve stenosis of bile duct and the injury repairing operative failure rate that bile duct injury is caused High problem.
Summary of the invention
It is an object of the invention to provide a kind of gallbladder causing bile duct injury to be treated for laparoscopic cholecystectomy Pipe holder, to solve to avoid stenosis of bile duct and the high problem of injury repairing operative failure rate.
The present invention uses following technical scheme:
A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy., described rack body Profile is the air bag (1) of a capsule shape, and described air bag (1) cross section is annular circle, described air bag (1) Outer wall is provided with extension tube attached (3), and described extension tube attached (3) is internal with described air bag (1) to be connected, described outside Adapter (3) other end is the plug being provided with check valve (7), described plug grafting aerating device (4), institute The upper grafting Pressure gauge (5) of the extension tube attached (3) stated.
Flexible annular hanger (6), described annular hanger (6) it is furnished with on described air bag (1) outer wall outer surface Being distributed on the cylindrical section of described outer wall, described air bag center is through hole (2).
Described air bag (1) is made up of silica gel and scribbles silicone at outer wall.
Described aerating device (4) is syringe.
Advantages of the present invention is as follows:
1. use the remote proximal bifiary ducts at the air bag expansion bile duct injury position of support, block degree of injury and scope oneself My evolution process, it is to avoid gallbladder leakage produces, and reduces the chemical stimulation of bile.
2. use aerating device and Pressure gauge to control gasbag pressure and expansion dynamics, and scribble at the silica gel outer wall of air bag Silicone paint is with the formation of prevention of scar tissue.
The most ring-type hanger can secure the stand to occur the bile duct of damage, it is to avoid support slips or moves in bile duct Dynamic.
4. use silica gel material, meet the technology requirement of medical treatment.
Accompanying drawing illustrates:
Fig. 1 is present invention schematic diagram of placement location in human body bile duct;
Fig. 2 is the overall structure schematic perspective view of the present invention;
Fig. 3 is that the present invention is supported on the cross-sectional view of damage field in human body bile duct;
Detailed description of the invention
Below in conjunction with the accompanying drawings the detailed description of the invention of the present invention is described further.
Following example are only for clearly inventing this example, and not to embodiments of the present invention Restriction.For those of ordinary skill in the field, can also make on the basis of the following description The change of other multi-forms or variation, and these belong to the obvious change that present invention spirit is drawn Or change among still in protection scope of the present invention.
A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy., described rack body Profile is the air bag 1 of a capsule shape, and described air bag 1 cross section is annular circle, and described air bag 1 outer wall is provided with Extension tube attached 3, described extension tube attached 3 is internal with described air bag 1 to be connected, and described extension tube attached 3 other end is for being provided with list To the plug of valve 7, described plug grafting aerating device 4, grafting Pressure gauge 5 in described extension tube attached 3.
Being furnished with flexible annular hanger 6 on described air bag 1 outer wall outer surface, described annular hanger 6 is distributed in institute Stating on the cylindrical section of outer wall, described air bag center is through hole 2.
Described air bag 1 is made up of silica gel and scribbles silicone at outer wall.
Described aerating device 4 is syringe.
In actual operation operating process, first support is placed in the bile duct at bile duct injury, due to institute Stating air bag 1 for medicament capsule shape and placed longitudinally along bile duct, its outer wall can more preferably be fitted bile duct wall, bile Can be circulated by described through hole 2, connect plug-in aerating device 4 to described gas by described extension tube attached Capsule 1 inner inflatable.Described check valve 7 can block gas injection backflow, in the measuring and calculating of described grafting Pressure gauge 5 Under so that pressure stability is in the desired pressure value required.For prevent described air bag 1 slip in bile duct or Mobile, can sew up fixing through the hanger 6 that described gasbag ektexine is fixing with bile duct wall by surgical thread.This Sample bile duct wall, can be with the formation of prevention of scar by the pressure of described air bag 1, it is also possible to expansion damage field Bile duct.Outer wall coating silicone reduces the generation of scar tissue further.The material of silica gel more meets Medical treatment device The operating specification of tool and requirement.Owing to this invention avoids the formation of stenosis of bile duct, expand remote proximal bifiary ducts, For retaining Oddi bile duct injury position of sphincteral second phase excision, the operation of bile duct end to-end anastomosis creates condition, And provide a preferable Therapeutic Method for bile duct injuries during laparoscopic cholecystectomy.

Claims (4)

1. the biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy, it is characterised in that: institute Stating the air bag (1) that rack body profile is a capsule shape, described air bag (1) cross section is annular, described Air bag (1) outer wall is provided with extension tube attached (3), and described extension tube attached (3) is internal with described air bag (1) to be connected Logical, described extension tube attached (3) other end is the plug being provided with check valve (7), described plug grafting inflation dress Put (4), the upper grafting Pressure gauge (5) of described extension tube attached (3).
A kind of bile duct causing bile duct injury to be treated for laparoscopic cholecystectomy the most according to claim 1 Support, it is characterised in that: it is furnished with flexible annular hanger (6), institute on described air bag (1) outer wall outer surface The annular hanger (6) stated is distributed on the cylindrical section of described outer wall, and described air bag center is through hole (2).
A kind of bile duct causing bile duct injury to be treated for laparoscopic cholecystectomy the most according to claim 1 Support, it is characterised in that: described air bag (1) is made up of silica gel and scribbles silicone at outer wall.
A kind of bile duct causing bile duct injury to be treated for laparoscopic cholecystectomy the most according to claim 1 Support, it is characterised in that: described aerating device (4) is syringe.
CN201510179606.0A 2015-04-16 2015-04-16 A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy Expired - Fee Related CN104720940B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201510179606.0A CN104720940B (en) 2015-04-16 2015-04-16 A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201510179606.0A CN104720940B (en) 2015-04-16 2015-04-16 A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy

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CN104720940A CN104720940A (en) 2015-06-24
CN104720940B true CN104720940B (en) 2016-10-19

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2589349A (en) * 1948-11-10 1952-03-18 Ervin P Diefenbach Magnetic key case
WO2006136092A1 (en) * 2005-06-18 2006-12-28 Hailong Yang A multi-function t-tube
CN203564644U (en) * 2013-10-30 2014-04-30 南方医科大学南方医院 Retroperitoneoscopy dilator
US20140200504A1 (en) * 2013-01-15 2014-07-17 Krishna Rocha-Singh Apparatus and method for delivering intraluminal therapy
CN104013481A (en) * 2013-03-03 2014-09-03 王光强 Sacculus support for tracheal stenosis patient
CN204618495U (en) * 2015-04-16 2015-09-09 中国人民解放军总医院 A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2589349A (en) * 1948-11-10 1952-03-18 Ervin P Diefenbach Magnetic key case
WO2006136092A1 (en) * 2005-06-18 2006-12-28 Hailong Yang A multi-function t-tube
US20140200504A1 (en) * 2013-01-15 2014-07-17 Krishna Rocha-Singh Apparatus and method for delivering intraluminal therapy
CN104013481A (en) * 2013-03-03 2014-09-03 王光强 Sacculus support for tracheal stenosis patient
CN203564644U (en) * 2013-10-30 2014-04-30 南方医科大学南方医院 Retroperitoneoscopy dilator
CN204618495U (en) * 2015-04-16 2015-09-09 中国人民解放军总医院 A kind of biliary tract prosthesis causing bile duct injury to be treated for laparoscopic cholecystectomy

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