CN107773289A - A kind of guiding tube for being exclusively used in laparoscope sleeve-like gastrectomy - Google Patents
A kind of guiding tube for being exclusively used in laparoscope sleeve-like gastrectomy Download PDFInfo
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- CN107773289A CN107773289A CN201711157451.6A CN201711157451A CN107773289A CN 107773289 A CN107773289 A CN 107773289A CN 201711157451 A CN201711157451 A CN 201711157451A CN 107773289 A CN107773289 A CN 107773289A
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- 238000013110 gastrectomy Methods 0.000 title claims abstract description 48
- 239000007788 liquid Substances 0.000 claims abstract description 26
- 238000001356 surgical procedure Methods 0.000 claims abstract description 25
- 238000003780 insertion Methods 0.000 claims abstract description 22
- 230000037431 insertion Effects 0.000 claims abstract description 22
- 239000012530 fluid Substances 0.000 claims abstract description 19
- 238000010521 absorption reaction Methods 0.000 claims description 7
- 210000001187 pylorus Anatomy 0.000 abstract description 31
- 230000000149 penetrating effect Effects 0.000 abstract description 3
- 210000002784 stomach Anatomy 0.000 description 20
- 206010012601 diabetes mellitus Diseases 0.000 description 8
- 238000010008 shearing Methods 0.000 description 8
- 238000010586 diagram Methods 0.000 description 7
- 239000003795 chemical substances by application Substances 0.000 description 6
- 230000002496 gastric effect Effects 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- 239000008280 blood Substances 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 4
- 208000020442 loss of weight Diseases 0.000 description 4
- 230000002980 postoperative effect Effects 0.000 description 4
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 3
- 230000007812 deficiency Effects 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 239000008103 glucose Substances 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000001464 adherent effect Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 230000036541 health Effects 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 238000007685 laparoscopic sleeve gastrectomy Methods 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 206010020772 Hypertension Diseases 0.000 description 1
- 206010021135 Hypovitaminosis Diseases 0.000 description 1
- 208000001132 Osteoporosis Diseases 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 208000007502 anemia Diseases 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000002996 emotional effect Effects 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 239000000686 essence Substances 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 239000003292 glue Substances 0.000 description 1
- 239000005556 hormone Substances 0.000 description 1
- 229940088597 hormone Drugs 0.000 description 1
- 235000003642 hunger Nutrition 0.000 description 1
- 238000005213 imbibition Methods 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 230000035764 nutrition Effects 0.000 description 1
- 235000016709 nutrition Nutrition 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 208000016261 weight loss Diseases 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of guiding tube for being exclusively used in laparoscope sleeve-like gastrectomy, including the composition such as guiding tube, seeker, attraction joint, crescent passage, circular channel, steam vent, imbibing hole.Guiding tube cavity is separated into the circular channel and a crescent passage for penetrating pipe range of an insertion pipe range, is provided with five imbibing holes with circular channel insertion in guiding tube side wall, circular channel is used to discharge liquid in alimentary canal in surgical procedure；Six steam vents with the insertion of crescent passage are provided with guiding tube side wall, crescent passage is used to discharge gas in alimentary canal in surgical procedure.There is variable diameters seeker guiding tube front end, and resistance when can reduce guiding tube insertion pylorus is simultaneously oriented to.Guiding tube rear end is connected with attraction joint in circular channel pipe.Pipe outer wall total length sign scale value is guided, it is convenient to read guiding tube insert the distance in alimentary canal.Fluid passage diameter is unrestricted with pipe diameter, is easy to adjust the liquid swabbing pressure in alimentary canal.
Description
Technical field
The present invention relates to a kind of medicine equipment, is the special guiding tube of laparoscope sleeve-like gastrectomy.
Background technology
Laparoscope sleeve-like gastrectomy (laparoscopic sleeve gastrectomy, LSG), is mainly used in loss of weight
With the treatment of diabetes B.The method of laparoscope sleeve-like gastrectomy is protected using direction of travel of the laparoscope along greater curvature
2-6cm pylorus above antrums are stayed, the big portion of stomach is cut off along stomach major axis, cuts off whole stomach bottoms, the stomach for making residual is in " banana-shaped ", is made
Stomach forms about 150cc small gastric pouch, can about accommodate the food of 4-5 ounces, the principle of laparoscope sleeve-like gastrectomy
It is to reduce gastric capacity, reducing stimulates the hormone secretion for producing hunger, so as to reach the purpose of loss of weight.Laparoscope sleeve-like stomach is cut
Except the advantages of art is the physiological status that does not change intestines and stomach, normal stool, the absorption process of food are not disturbed.Laparoscope sleeve-like stomach
Resection need not insert exotic in vivo.Compared with peritoneoscope stomach bandage art and gastric bypass, laparoscope sleeve-like pacing stomach
Art technical difficulty is small, is operated without laparoscopic anastomosis, is easy to postoperative endoscopy, maintains gastral original continuity, to art
Nutrition influences most light afterwards.According to the literature, after receiving laparoscope sleeve-like gastrectomy for treating, additional weight can be subtracted within postoperative 2 years
Few about 70%, this is close with gastric bypass curative effect, but without gastric bypass postoperative anemia, osteoporosis, hypovitaminosis etc. simultaneously
Send out disease.The result of study of tracking 5 years shows that the postoperative stomach that seldom occurs of laparoscope sleeve-like gastrectomy is supportted big and caused multiple fat again.
Laparoscope sleeve-like gastrectomy also has good therapeutic effect to diabetes B, is that current Europe is widely used
Loss of weight is performed the operation with diabetes.Studies have shown that receives loss of weight and conventional medication is only carried out compared with the patient that diabetes are performed the operation
Patient is capable of the blood glucose of complete incidence graph diabetes B patient.Follwing-up in average 3 years, sleeve-like gastrectomy diabetes cure rate are
80.9%.The fat merging diabetes B patient outcome of laparoscope sleeve-like gastrectomy for treating is good, the blood glucose before Body weight loss
It can recover normal.While blood glucose is controlled, laparoscope sleeve-like gastrectomy can also reduce diabetes, hypertension, high fat of blood
Medicine etc. complication uses, in the holistic health of patient, emotional health, body and social functions, pain alleviation and individual
Energy recovery etc. has different degrees of improvement.
Guiding tube, existing guiding tube front end guidance head and guiding tube body are needed to use in laparoscope sleeve-like gastrectomy
Diameter is identical, causes guiding tube resistance when inserting in pylorus larger, easily damages pylorus.Guiding tube body material is partially hard, no
Conveniently being fixed on ad-hoc location in laparoscope sleeve-like gastrectomy does shearing reference line.In surgical procedure, liquid in alimentary canal
Inconvenient discharge in time.
The content of the invention
For overcome the deficiencies in the prior art, the invention provides in a kind of laparoscope sleeve-like gastrectomy, using straightening
Footpath seeker, resistance is smaller when in guiding tube insertion pylorus, avoids damage to pylorus, and guides convenient, and guiding tube pipe diameter is not
Limited by seeker diameter and fluid passage diameter, be easy to Design guidance pipe pipe diameter and hardness, make it easier to surgical procedure
Shearing reference line is done in middle positioning, and tube cavity has single fluid passage, is easy to discharge liquid in alimentary canal in surgical procedure, and
It is easy to determine the guiding tube of insertion depth, it can more easily aid in doctor to implement the operation of laparoscope sleeve-like gastrectomy.
The invention provides in a kind of laparoscope sleeve-like gastrectomy, using variable diameters seeker, guiding tube inserts pylorus
Resistance is smaller when middle, avoids damage to pylorus, and guides conveniently, and guiding tube pipe diameter is not straight by seeker diameter and fluid passage
Footpath limits, and is easy to Design guidance pipe pipe diameter and hardness, makes it easier to position in surgical procedure and does shearing reference line, in body
Chamber has single fluid passage, is easy to discharge liquid in alimentary canal in surgical procedure, and is easy to determine the guiding tube of insertion depth,
Concrete scheme is as follows：
Laparoscope sleeve-like gastrectomy guiding tube, including guiding tube, seeker, attraction joint, crescent passage, circle are logical
Road, steam vent and imbibing hole, described guiding tube cavity are separated into the circular channel and an insertion pipe range of an insertion pipe range
Crescent passage, do not connect independently of each other between two passages, described circular channel is used to discharge alimentary canal in surgical procedure
Interior liquid, described crescent passage are used to discharge gas in alimentary canal in surgical procedure；Described guiding tube side wall is provided with
With the steam vent of crescent passage insertion；Described guiding tube side wall is provided with the imbibing hole with circular channel insertion；Described
There is a seeker for being secured to connection guiding tube front end, the circular channel of the described guiding tube cavity of described seeker sealing and
One end of crescent passage；The rear end of guiding tube is provided with the attraction joint communicated with circular channel.
Further, it is connected between described guiding tube and described seeker using cementing agent, described guiding
Cementing agent between head and described guiding tube seals the circular channel and crescent passage of described guiding tube cavity simultaneously
One end.
Further, described seeker is variable diameters seeker, and described seeker front end position diameter is less than described
Guide tube diameter, reduce resistance during described guiding tube insertion pylorus, avoid damage to pylorus, and be easy in described guiding
Pipe is oriented to when inserting pylorus.
Further, five imbibing holes penetrated with described circular channel are provided with described guiding tube side wall, it is described
Guiding tube side wall on five and the imbibing hole of described circular channel insertion be used to aspirate in alimentary canal in surgical procedure
Liquid is simultaneously excreted by the described circular channel in described guiding tube cavity.
Further, described guiding tube rear end uses glue between described circular channel pipe and described attraction joint
Knot agent is connected, and described attraction joint is used to connect absorption equipment, will pass through described guiding tube side wall in surgical procedure
On five imbibing hole suctions penetrated with described circular channel alimentary canals in liquid pass through described guiding tube cavity
In described circular channel be discharged in absorption equipment.
Further, six steam vents penetrated with described crescent passage, institute are provided with described guiding tube side wall
Six in guiding tube side wall stated are used to discharge alimentary canal in surgical procedure with the steam vent that described crescent passage penetrates
Interior gas is simultaneously excreted by the other end of the described crescent passage in described guiding tube cavity.
Further, described guiding tube tube wall total length is labeled with calibration points position from crescent passage to described
The distance value on the described seeker summit of guiding tube front end, it is convenient directly read described in guiding tube inserted in alimentary canal away from
From numerical value.
Further, tube cavity has single fluid passage, and the fluid passage diameter and pipe diameter of tube cavity are not
It is restricted, the fluid passage of suitable inner diameter can be selected, is easy to adjust the liquid swabbing pressure in alimentary canal, is easy to surgical procedure
Liquid in middle discharge stomach；
Further, guiding tube pipe diameter is not limited by seeker diameter and fluid passage diameter, design can be facilitated to draw
Catheter tube diameter and hardness, in the case of resistance is less when guiding tube is inserted in pylorus, realize guiding tube pipe diameter chi
Very little moderate with hardness, conveniently being positioned at ad-hoc location in laparoscope sleeve-like gastrectomy does shearing reference line.
The operation principle of the present invention：
When carrying out laparoscope sleeve-like gastrectomy, described guiding tube is inserted into alimentary canal, gas in alimentary canal and
Liquid enters guiding tube cavity from the described steam vent of described guiding tube side wall and described imbibing hole, is drawn by described
The other end of described crescent passage in conduit cavity excrete and described circular channel and attract joint be discharged to
Attract in equipment, resistance when inserting alimentary canal by reducing described guiding tube simultaneously；Described guiding tube front end it is described
Seeker be variable diameters seeker, described seeker front end position diameter is less than described guide tube diameter, described in reduction
Guiding tube insertion pylorus when resistance, avoid damage to pylorus, and be easy to be oriented to when described guiding tube inserts pylorus.
During laparoscope sleeve-like stomach resecting operation, described seeker is supportted in pylorus, plays fixed described guiding tube leading section
Effect, described guiding tube is positioned at specific correct position in alimentary canal, now can using described guiding tube as
Shear reference line and carry out the operation of laparoscope sleeve-like pacing stomach.Described guiding tube tube wall total length indicates the calibration points position extremely
The distance value on the described seeker summit of described guiding tube front end, described guiding tube can be directly read in alimentary canal
Insert the distance numerical value, conveniently know described guiding tube length in alimentary canal, be easy to position described guiding tube in alimentary canal
Interior specific correct position.
The guiding tube for laparoscope sleeve-like gastrectomy of the present invention has the advantages that compared with prior art：
1. use variable diameters seeker, guiding tube insertion pylorus in when resistance it is smaller, avoid damage to pylorus, and guiding side
Just.
2. guiding tube pipe diameter is not limited by seeker diameter and fluid passage diameter, Design guidance pipe body can be facilitated
Diameter and hardness, in the case of resistance is less when guiding tube is inserted in pylorus, realize guiding tube pipe diameter size and hardness
Moderate, conveniently being positioned at ad-hoc location in laparoscope sleeve-like gastrectomy does shearing reference line.
3. tube cavity has single fluid passage, the fluid passage diameter and pipe diameter of tube cavity are unrestricted,
The fluid passage of suitable inner diameter can be selected, is easy to adjust the liquid swabbing pressure in alimentary canal, is easy to discharge in surgical procedure
Liquid in stomach.
4. guiding tube tube wall total length indicates the distance value on the seeker summit of the calibration points position to guiding tube front end,
It is convenient directly to read guiding tube insert the distance numerical value in alimentary canal, conveniently know described guiding tube length in alimentary canal,
It is easy to specific correct position of the orientation direction pipe in alimentary canal.
5. need to insert a thicker stomach tube during sleeve-like gastrectomy, and common adapter for suction unit diameter is substantially inclined
It is small, therewith can not completely pairing and suction deficiency.Meanwhile such as an only tube chamber, during attraction side opening may be caused adherent, can not
Effectively attract；And pass through this design, circular channel connection vacuum extractor, when in use, in crescent passage and circular channel
Between perforate as needed, liquid is introduced into crescent passage, then attracted by circular channel, the above can be avoided to ask
Topic.
6. circular pipe is mainly designed to, in order to be effectively matched connection vacuum extractor, reduce to routine operation room apparatus material
The requirement of material.Meanwhile non-circular channels are likely to occur deformation, or even closure in vacuum suction, so must be designed to inside
The passage of small circular, and the shape of remaining chamber is then determined at the position of circular channel.Consider from manufacture difficulty, circular channel chamber
It is the most suitable to be attached to whole big pipe side wall, so remaining passage character is crescent.
Brief description of the drawings
In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing
There is the required accompanying drawing used in technology description to be briefly described, it should be apparent that, drawings in the following description are not necessarily pressed
Only it is to be illustratively described the present invention according to ratio, drawings discussed below is only some embodiments in the present invention, is not limit
The system present invention, for those of ordinary skill in the art, without having to pay creative labor, can also be according to this
A little accompanying drawings obtain other accompanying drawings.
Fig. 1 is a kind of operation chart for laparoscope sleeve-like gastrectomy of the invention.
Fig. 2 is a kind of cross section structure diagram of guiding tube for laparoscope sleeve-like gastrectomy of the invention.
Fig. 3 is a kind of section structure diagram one of guiding tube for laparoscope sleeve-like gastrectomy of the invention.
Fig. 4 is a kind of section structure diagram two of guiding tube for laparoscope sleeve-like gastrectomy of the invention.
Fig. 5 is a kind of section structure diagram three of guiding tube for laparoscope sleeve-like gastrectomy of the invention.
Fig. 6 is a kind of section structure diagram four of guiding tube for laparoscope sleeve-like gastrectomy of the invention.
Fig. 7 is a kind of section structure diagram of the seeker of guiding tube for laparoscope sleeve-like gastrectomy of the invention
One.
Fig. 8 is a kind of section structure diagram of the seeker of guiding tube for laparoscope sleeve-like gastrectomy of the invention
Two.
Embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is carried out clear, complete
Whole description, it is clear that described embodiment is only the part of the embodiment of the present invention, rather than whole embodiments.Base
Embodiment in the present invention, those of ordinary skill in the art obtained under the premise of creative work is not made it is all its
His embodiment, belongs to the scope of protection of the invention.
It is noted that described further below is all exemplary, it is intended to provides further instruction to the application.It is unless another
Indicate, all technologies used herein and scientific terminology are with usual with the application person of an ordinary skill in the technical field
The identical meanings of understanding.
It should be noted that term used herein above is merely to describe embodiment, and be not intended to restricted root
According to the illustrative embodiments of the application, additionally, it should be understood that, when in this manual use term "comprising" and/
Or during " comprising ", it indicates existing characteristics, step, operation, device, component and/or combinations thereof.
As background technology is introduced, existing guiding tube front end guidance head is identical with guiding tube pipe diameter, causes
Guiding tube resistance when inserting in pylorus is larger, easily damages pylorus.Guiding tube body material is partially hard, it has not been convenient to is tucked inside the sleeve in laparoscope
Ad-hoc location is fixed in shape gastrectomy and does shearing reference line.In surgical procedure, the inconvenient row in time of liquid in alimentary canal
Go out., in order to solve technical problem as above, present applicant proposes a kind of laparoscope sleeve-like gastrectomy guiding tube.
Illustrate embodiment of the present invention, laparoscope sleeve-like gastrectomy guiding tube, including guiding with reference to Fig. 1~Fig. 8
Pipe 1, seeker 2, attract joint 3, crescent passage 4, circular channel 5,6~steam vent of steam vent 11,12~imbibition of imbibing hole
Hole 16 etc., the described inner chamber of guiding tube 1 is separated into a circular channel 5 for penetrating pipe range and the crescent of an insertion pipe range is led to
Road 4, described circular channel 5 are used to discharge liquid in alimentary canal in surgical procedure, and described crescent passage 4 is used to perform the operation
Gas in alimentary canal is discharged in journey；There are seeker 2, described guiding tube 1 and described seeker 2 in the described front end of guiding tube 1
Between be connected using cementing agent 17, the cementing agent 17 between described seeker 2 and described guiding tube 1 seals institute simultaneously
The circular channel 5 of the inner chamber of guiding tube 1 stated and one end of crescent passage 4；Described seeker 2 is variable diameters seeker, institute
The front end position diameter of seeker 2 stated is less than the described diameter of guiding tube 1, reduces resistance when described guiding tube 1 inserts pylorus
Power, pylorus is avoided damage to, and be easy to be oriented to when described guiding tube 1 inserts pylorus.Opened in the described side wall of guiding tube 1
There are five 12~imbibing holes of imbibing hole 16 penetrated with described circular channel 5, five and institute in the described side wall of guiding tube 1
12~imbibing hole of imbibing hole 16 that the circular channel 5 stated penetrates is used to aspirate the liquid in alimentary canal in surgical procedure and passes through institute
Described circular channel 5 in the inner chamber of guiding tube 1 stated excretes.
The rear end of guiding tube 1 is connected with attraction joint in the described pipe of circular channel 5, and the described rear end of guiding tube 1 is described
Circular channel 5 manage and be connected between described attraction joint 3 using cementing agent 18, described attraction joint 3 is used to connect
Absorption equipment is connect, five suctions penetrated with described circular channel 5 in the described side wall of guiding tube 1 will be passed through in surgical procedure
The liquid in alimentary canal that 12~imbibing hole of fluid apertures 16 aspirates passes through the described circular channel 5 in the described inner chamber of guiding tube 1
It is discharged in absorption equipment.
Six 6~steam vents of steam vent 11 penetrated with described crescent passage 4 are provided with the side wall of guiding tube 1, it is described
The side wall of guiding tube 1 on six and 6~steam vent of steam vent 11 for penetrating of described crescent passage 4 be used in surgical procedure
Discharge the gas in alimentary canal and body is discharged by the other end of the described crescent passage 4 in the described inner chamber of guiding tube 1
Outside.The described tube wall total length of guiding tube 1 indicates the calibration points position to the described seeker of the described front end of guiding tube 1
The distance value on 2 summits, it is convenient directly to read described guiding tube 1 insert the distance numerical value in alimentary canal.
Need to insert a thicker stomach tube during sleeve-like gastrectomy, and common adapter for suction unit diameter is substantially inclined
It is small, therewith can not completely pairing and suction deficiency.Meanwhile such as an only tube chamber, during attraction side opening may be caused adherent, can not
Effectively attract；And pass through this design, circular channel connection vacuum extractor, when in use, in crescent passage and circular channel
Between perforate as needed, liquid is introduced into crescent passage, then attracted by circular channel, the above can be avoided to ask
Topic.
Circular pipe is mainly designed to, in order to be effectively matched connection vacuum extractor, reduce to routine operation room device material
Requirement.Meanwhile non-circular channels are likely to occur deformation, or even closure in vacuum suction, so must be designed to internal small
Circular passage, and the shape of remaining chamber is then determined at the position of circular channel.Consider from manufacture difficulty, circular channel chamber patch
It is the most suitable in whole big pipe side wall, so remaining passage character is crescent.
The operation principle of the present invention：
When carrying out laparoscope sleeve-like gastrectomy, described guiding tube 1 is inserted into alimentary canal, gas in alimentary canal and
Liquid enters from described 6~steam vent of steam vent 11 of the described side wall of guiding tube 1 and described 12~imbibing hole of imbibing hole 16
Enter to guide tube cavity, excreted by the other end of the described crescent passage 4 in the described inner chamber of guiding tube 1 and described
Circular channel 5 and attract joint 3 to be discharged to attract in equipment, when inserting alimentary canal by reducing described guiding tube 1 simultaneously
Resistance；The described seeker 2 of the front end of guiding tube 1 is variable diameters seeker, and the described front end position diameter of seeker 2 is less than
The described diameter of guiding tube 1, reduce resistance when described guiding tube 1 inserts pylorus, avoid damage to pylorus, and be easy to described
Guiding tube 1 insert pylorus when be oriented to.During laparoscope sleeve-like stomach resecting operation, described seeker 2 is supportted in pylorus
It is interior, play a part of the fixed described leading section of guiding tube 1, described guiding tube 1 is positioned at specific suitable in alimentary canal
Position, now it can carry out the operation of laparoscope sleeve-like pacing stomach using described guiding tube 1 as shearing reference line.Described guiding
The external wall total length of pipe pipe 1 indicates the distance on the described summit of seeker 2 of the calibration points position to the described front end of guiding tube 1
Value, described guiding tube 1 insert the distance numerical value in alimentary canal can be directly read, conveniently know that described guiding tube 1 is disappearing
Change length in road, be easy to position specific correct position of the described guiding tube 1 in alimentary canal.
As can be seen from the above description, the application the above embodiments realize following technique effect：
1. use variable diameters seeker, guiding tube insertion pylorus in when resistance it is smaller, avoid damage to pylorus, and guiding side
Just.
2. guiding tube pipe diameter is not limited by seeker diameter and fluid passage diameter, Design guidance pipe body can be facilitated
Diameter and hardness, in the case of resistance is less when guiding tube is inserted in pylorus, realize guiding tube pipe diameter size and hardness
Moderate, conveniently being positioned at ad-hoc location in laparoscope sleeve-like gastrectomy does shearing reference line.
3. tube cavity has single fluid passage, the fluid passage diameter and pipe diameter of tube cavity are unrestricted,
The fluid passage of suitable inner diameter can be selected, is easy to adjust the liquid swabbing pressure in alimentary canal, is easy to discharge in surgical procedure
Liquid in stomach.
4. guiding tube tube wall total length indicates the distance value on the seeker summit of the calibration points position to guiding tube front end,
It is convenient directly to read guiding tube insert the distance numerical value in alimentary canal, conveniently know described guiding tube length in alimentary canal,
It is easy to specific correct position of the orientation direction pipe in alimentary canal.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all essences in the present invention
In god and principle, any modification, equivalent substitution and improvements made etc., it should be included within the scope of the present invention.
Although above-mentioned the embodiment of the present invention is described with reference to accompanying drawing, model not is protected to the present invention
The limitation enclosed, one of ordinary skill in the art should be understood that on the basis of technical scheme those skilled in the art are not
Need to pay various modifications or deformation that creative work can make still within protection scope of the present invention.
Claims (10)
1. a kind of guiding tube for being exclusively used in laparoscope sleeve-like gastrectomy, it is characterised in that including guiding tube, seeker, attraction
Joint, crescent passage, circular channel, steam vent and imbibing hole, described guiding tube cavity are separated into one and penetrate pipe range
The crescent passage of circular channel and an insertion pipe range, is not connected between two passages independently of each other；Described circular channel is used
Liquid in alimentary canal is discharged in surgical procedure, described crescent passage is used to discharge gas in alimentary canal in surgical procedure；
Described guiding tube side wall is provided with the steam vent with the insertion of crescent passage；Described guiding tube side wall is provided with leads to circle
The imbibing hole of road insertion；There is the seeker for being secured to connection described guiding tube front end, and described seeker seals described
Guide the circular channel of tube cavity and one end of crescent passage；The rear end of guiding tube is provided with the attraction communicated with circular channel and connect
Head.
2. the guiding tube as claimed in claim 1 for being exclusively used in laparoscope sleeve-like gastrectomy, it is characterised in that described guiding
It is connected between pipe and described seeker using cementing agent, the cementing agent between described seeker and described guiding tube
The described circular channel of guiding tube cavity and one end of crescent passage are sealed simultaneously.
3. the guiding tube as claimed in claim 1 for being exclusively used in laparoscope sleeve-like gastrectomy, it is characterised in that described guiding
Head is variable diameters seeker, and described seeker front end position diameter is less than described guide tube diameter.
4. the guiding tube as claimed in claim 1 for being exclusively used in laparoscope sleeve-like gastrectomy, it is characterised in that described guiding
Be provided with five imbibing holes penetrated with described circular channel in pipe side wall, five in described guiding tube side wall with it is described
The imbibing hole of circular channel insertion is used in surgical procedure aspirate the liquid in alimentary canal and by described guiding tube cavity
Described circular channel excrete.
5. the guiding tube as claimed in claim 1 for being exclusively used in laparoscope sleeve-like gastrectomy, it is characterised in that described guiding
Pipe rear end is connected between described circular channel pipe and described attraction joint using cementing agent.
6. the guiding tube as claimed in claim 1 for being exclusively used in laparoscope sleeve-like gastrectomy, it is characterised in that described attraction
Joint is used to connect absorption equipment, will pass through five in described guiding tube side wall and described circular channel in surgical procedure
Liquid in the alimentary canal of the imbibing hole suction of insertion is discharged to by the described circular channel in described guiding tube cavity
In absorption equipment.
7. the guiding tube as claimed in claim 1 for being exclusively used in laparoscope sleeve-like gastrectomy, it is characterised in that described guiding
Six steam vents penetrated with described crescent passage are provided with pipe side wall, described steam vent is used in surgical procedure discharge
Gas in alimentary canal is simultaneously excreted by the other end of the described crescent passage in described guiding tube cavity.
8. the guiding tube as claimed in claim 1 for being exclusively used in laparoscope sleeve-like gastrectomy, it is characterised in that described guiding
Pipe tube wall total length is labeled with the described guiding crown of the calibration points position from crescent passage to described guiding tube front end
The distance value of point, it is convenient directly to read described guiding tube insert the distance numerical value in alimentary canal.
9. the guiding tube as claimed in claim 1 for being exclusively used in laparoscope sleeve-like gastrectomy, it is characterised in that the liquid leads to
Road diameter and pipe diameter are unrestricted.
10. the guiding tube as claimed in claim 1 for being exclusively used in laparoscope sleeve-like gastrectomy, it is characterised in that the guiding
Pipe pipe diameter is not limited by seeker diameter and fluid passage diameter.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711157451.6A CN107773289B (en) | 2017-11-20 | 2017-11-20 | Guide tube special for laparoscopic sleeve gastrectomy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711157451.6A CN107773289B (en) | 2017-11-20 | 2017-11-20 | Guide tube special for laparoscopic sleeve gastrectomy |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107773289A true CN107773289A (en) | 2018-03-09 |
| CN107773289B CN107773289B (en) | 2024-04-12 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711157451.6A Active CN107773289B (en) | 2017-11-20 | 2017-11-20 | Guide tube special for laparoscopic sleeve gastrectomy |
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| Country | Link |
|---|---|
| CN (1) | CN107773289B (en) |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN110025360A (en) * | 2019-04-02 | 2019-07-19 | 厦门大学附属中山医院 | A kind of peritoneoscope stomach part resection operation stomach tube |
| CN110064123A (en) * | 2019-03-28 | 2019-07-30 | 暨南大学 | A kind of stomach tube guiding tube being exclusively used in laparoscope sleeve-like gastrectomy |
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| Publication number | Publication date |
|---|---|
| CN107773289B (en) | 2024-04-12 |
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