CN108158616A - The gas that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device - Google Patents
The gas that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device Download PDFInfo
- Publication number
- CN108158616A CN108158616A CN201810015561.7A CN201810015561A CN108158616A CN 108158616 A CN108158616 A CN 108158616A CN 201810015561 A CN201810015561 A CN 201810015561A CN 108158616 A CN108158616 A CN 108158616A
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- Prior art keywords
- conduit wall
- wall
- gas
- diaphragm
- lane device
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- 206010028980 Neoplasm Diseases 0.000 title claims abstract description 32
- 210000000664 rectum Anatomy 0.000 title claims abstract description 14
- 210000001072 colon Anatomy 0.000 title claims abstract description 12
- 230000002980 postoperative effect Effects 0.000 title claims abstract description 12
- 239000013013 elastic material Substances 0.000 claims abstract description 9
- 238000007789 sealing Methods 0.000 claims abstract description 4
- 239000007787 solid Substances 0.000 claims abstract description 4
- 210000005239 tubule Anatomy 0.000 claims 1
- 210000000683 abdominal cavity Anatomy 0.000 abstract description 9
- 210000003128 head Anatomy 0.000 description 14
- 210000000436 anus Anatomy 0.000 description 8
- 238000000034 method Methods 0.000 description 7
- 238000010586 diagram Methods 0.000 description 6
- 206010009944 Colon cancer Diseases 0.000 description 5
- 208000001333 Colorectal Neoplasms Diseases 0.000 description 5
- 238000002955 isolation Methods 0.000 description 5
- 210000001331 nose Anatomy 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- 238000005516 engineering process Methods 0.000 description 3
- 238000007912 intraperitoneal administration Methods 0.000 description 3
- 201000010989 colorectal carcinoma Diseases 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000001681 protective effect Effects 0.000 description 2
- 208000005646 Pneumoperitoneum Diseases 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 230000003340 mental effect Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 238000004513 sizing Methods 0.000 description 1
- 210000004881 tumor cell Anatomy 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- External Artificial Organs (AREA)
Abstract
The invention discloses the gas that tumor specimen is taken out used in the postoperative per anum of Colon and rectum to fill formula lane device, and including conduit wall, gas tube, supporting rack and diaphragm, conduit wall is in the cylindrical shape that both ends lead to, including head, middle part and tail portion；Conduit wall be divided into it is two layers inside and outside, between two layers of elastic thin-wall be cavity；Gas tube is located at the trailing exterior surface of conduit wall, and is connected with cavity, and the head and tail portion of conduit wall are respectively equipped with solid annular supporting rack, and conduit wall middle part inside is additionally provided with elastic material and diaphragm is made, and diaphragm edge is connect with conduit wall inner wall sealing.For the device in unaerated state in strip, merging is convenient, and patient's pain is few, supporting rack can make conduit wall keep cylindric after inflation, tumour clamping is entered inside conduit wall to surgical clamp and provides operating space, the difficulty of operation is reduced, improves success rate；Tumour is completely disposed in conduit wall, and when taking-up can avoid spreading；Diaphragm effectively avoids abdominal cavity pressure release, ensures that operation is normally carried out.
Description
Technical field
The present invention relates to laparoscopic surgery medical instruments, and the gas of tumor specimen is specially taken out used in the postoperative per anum of Colon and rectum
Fill formula lane device.
Background technology
With minimally invasive theory be rooted in the hearts of the people and the fast development of minimal invasive techniques, the development of minimally invasive equipment, surgical operation
An important revolution is occurring, Minimally Invasive Surgery also becomes the dominant role of surgery stage instantly free from controvery.Wound
Wound, pain, scar and bad mental hint are considered as the inevitable outcome of surgical operation always.In recent years, through natural cavity
Sample is taken to perform the operation（Natural orifice specimen extraction surgery, NOSES）Appearance be minimally-invasive treatment
New direction is searched out.The Chinese colorectal cancer incidence rate 60% of China epidemic data display is especially straight with low level in rectum
Intestines are common, wherein 15% morbidity's age was less than 30 years old, while China's patient's BMI data are relatively small, technically more may be used
Row.Literature has shown that colorectal cancer NOSE operations technical feasibility in surgical procedure, safety is basic and conventional laparoscopic is performed the operation
Similar, concurrency is not significantly increased, and more aesthetic effect, patient acceptability are strong.
However, NOSES arts are still at an early stage, condition and technology platform, adaptation are carried out in the specific name of NOSES arts
The problems such as card and contraindication, sterile working and technology requirement and the prevention and processing of complication without knurl operation etc., still do not have
There are the common recognition and standard for reaching unified, diversified operation method and standard are present in clinical position.Domestic king
Xishan professor and professor Fu Chuangang have done desk study to this kind of operation, and it is special also to have set up the first colorectal cancer NOSES in the country
Industry alliance has also issued colorectal carcinoma and has taken sample operation Consensus of experts through natural cavity（2017）.
In surgical procedure, per anum takes the surgical instrument of sample also without special equipment.It is currently the warp without fixed shape
Anus takes sample device.Every expert is had using relatively more：1. hysteroscope set.Will be in abdominal cavity environment of performing the operation by surgical clamp, it will
The isolation pocket sack of isolation opens wide, and then makes it into isolation pocket the tumor specimen clamping after excision, also later
The sack of isolation pocket is constantly included into tumor specimen, the tumor specimen that finally clamping sack coats isolation pocket and inside is together
It takes out.2. incision protective sleeve.Low rectal per anum is placed in incision protective sleeve, directly hauls out sample.However aforesaid operations process,
Operation difficulty is big, of long duration, and there are many drawbacks, cause the procedure efficiency comparatively low.
Therefore it needs further to rationally design and perfect so that the art is so more convenient that take from anus after a resection in tumour
Go out, at the same be avoided that tumour cell come off and the generation of abdominal cavity infection, and to ensure that per anum takes sample device by tumour
It is carried out under being in completely isolated state with abdominal cavity when taking out.
Invention content
In order to achieve the above-mentioned object of the invention, present invention employs following technical schemes：It is taken out used in the postoperative per anum of Colon and rectum
The gas of tumor specimen fills formula lane device, described including conduit wall, gas tube, at least two supporting racks and at least one diaphragm
Conduit wall is in the cylindrical shape that both ends lead to, including head, middle part and tail portion；Conduit wall is divided into internal layer elastic thin-wall and outer layer Thin Elastic
Wall is cavity between two layers of elastic thin-wall；The gas tube is located at the trailing exterior surface of conduit wall, and gas tube connects with cavity
It is logical；The head and tail portion of the conduit wall are respectively equipped at least one supporting rack, and support frame as described above is attached at conduit wall for annular
Outer wall on solid annular structure；Internal in the middle part of the conduit wall to be additionally provided at least one diaphragm, the diaphragm is by elastic material
It is made, diaphragm edge is connect with conduit wall inner wall sealing.
Further, the gas fills formula lane device and further includes an air charging system, and the air charging system includes spherical gas
Capsule and thin tube-like gas nozzle, the thin tube-like gas nozzle outer surface are equipped with many places annular protrusion.The many places ring of thin tube-like gas nozzle outer surface
Shape protrusion, by squeezing spherical envelope, can squeeze into gas in the cavity of conduit wall with the closed installation of gas tube so that
Conduit wall increases to suitable volume.
Further, the diaphragm includes two diaphragms, and diaphragm is staggered and position overlapping staggeredly.Staggeredly set
Two diaphragms put can maintain intraperitoneal air pressure, to ensure to perform the operation when the gas being filled formula lane device being placed on abdominal cavity
Operation has certain operating space.
Further, the head of the conduit wall and tail portion are equipped with closing in rope, and the closing in rope can be by conduit wall
Head and tail portion tightening are osculum.The rope that closes up can tighten open conduit wall end as osculum, the tail portion closing in of conduit wall
It is pulled out at patient anus convenient for tail portion, the tumour that head closing in can ensure to be put into inside conduit wall is pulled out from patient anus
During, do not depart from the device.
Further, the conduit wall after inflating by that can expand so that the elastic material of entire conduit wall contact rectal wall
Material is made.Conduit wall made of elastic material, in unaerated, small volume is conveniently put at abdominal cavity of patients's operation, by filling
Device of air is inflated, and increases volume, it is ensured that placing the operating process of tumour has enough spaces.
Further, conduit wall outer diameter after being sufficiently inflated is 5-10cm, length 20-30cm.
Compared with prior art, the lane device of above-mentioned technical proposal is employed, is had the advantages that：
First, due to conduit wall in unaerated state in the smaller strip of outer diameter, can the operative incision of enteron aisle dispose into,
Notch is smaller, and speed is fast, and pain is few；And after lane device expands, it is consistent that outer diameter may be expanded to same inner walls of rectums, will
Tumor specimen takes out, without opening big notch in enteron aisle side wall；The lane device for carrying tumor specimen is taken out by anus later, it is real
The purpose that existing colorectal carcinoma takes out through natural cavity.
2nd, the supporting rack of conduit wall head and tail portion can make conduit wall keep cylindric after inflation, will to surgical clamp
Tumour clamping, which enters inside conduit wall, provides operating space, reduces the difficulty of operation, improves success rate；
3rd, can tumour be completely disposed in conduit wall using the device, tumour with rectal wall is isolated by conduit wall, is taken
Tumor specimen can be avoided to spread when going out, while take-off speed is fast, it is efficient；
4th, it during surgical procedure in the present invention, needs in the diaphragm in the middle part of enteron aisle and intraperitoneal formation pneumoperitoneum, conduit wall plays
The purpose of outer air insulated, in conduit wall sizing it is possible to prevente effectively from abdominal cavity pressure release, ensures that operation is normally carried out.
Description of the drawings
Fig. 1 is the structure diagram that gas fills formula lane device in the present invention；
Fig. 2 is the sectional view that gas fills formula lane device in the present invention；
Fig. 3 is the partial enlarged view at A in Fig. 2；
Fig. 4 is the structure diagram that gas fills formula lane device in embodiment；
Fig. 5 is the connection diagram that gas fills formula lane device and air charging system in the present invention；
Fig. 6 is middle figure（a）, figure（b）, figure（c）And figure（d）The use step schematic diagram of formula lane device is filled for gas in the present invention；
Fig. 7 is the schematic diagram of the present embodiment septation；
Fig. 8 is the diagrammatic cross-section of the present embodiment septation.
Reference numeral：1st, conduit wall；2nd, gas tube；3rd, supporting rack；4th, diaphragm；5th, cavity；6th, air bag；7th, gas nozzle；8th, convex annular
It rises；9th, close up rope；A, head；B, middle part；C, tail portion.
Specific embodiment
The present invention is described further with reference to embodiment and refer to the attached drawing.
The gas for being used in the postoperative per anum taking-up tumor specimen of Colon and rectum as shown in Figures 1 to 3 fills formula lane device, including channel
Wall 1, gas tube 2, at least two supporting racks 3 and at least one diaphragm 4, conduit wall 1 are in the cylindrical shape led to of both ends, including head a,
Middle part b and tail portion c, conduit wall 1 divide for internal layer elastic thin-wall and outer layer elastic thin-wall, are cavity 5 between two layers of elastic thin-wall, fill
Tracheae 2 is located at the tail portion c outer surfaces of conduit wall 1, and gas tube 2 is connected with cavity 5, head a and tail portion the c difference of conduit wall 1
Equipped at least one supporting rack 3, supporting rack 3 is attached at solid annular structure on the outer wall of conduit wall 1 for annular, in conduit wall 1
At least one diaphragm 4 is additionally provided with inside portion b, diaphragm 4 is made of elastic material, and 4 edge of diaphragm connects with 1 inner wall sealing of conduit wall
It connects.
As shown in Figure 5, the gas in the present embodiment fills formula lane device and further includes an air charging system, and air charging system includes
Spherical envelope 6 and thin tube-like gas nozzle 7,7 outer surface of thin tube-like gas nozzle are equipped with many places annular protrusion 8.7 appearance of thin tube-like gas nozzle
The annular protrusion 8 in face can be tightly connected with gas tube 2, by squeezing the gas in spherical envelope 6, can be filled to conduit wall 1
Gas so that 1 volume of conduit wall becomes larger to the operation facilitated in operation.
As shown in Figure 7 and Figure 8, diaphragm 4 includes two diaphragms, and diaphragm is staggered and position overlapping staggeredly.Staggeredly set
Two diaphragms put can maintain intraperitoneal air pressure, to ensure to perform the operation when the gas being filled formula lane device being placed on abdominal cavity
Operation has certain operating space.
As shown in Fig. 4 or 5, the gas in the present embodiment fills formula lane device, and the head a and tail portion c of conduit wall 1 are equipped with
Close up rope 9, and the head a of conduit wall 1 and tail portion c tightenings can be osculum by the rope 9 that closes up.The tail portion c of conduit wall 1 closes up convenient for tail
Portion c is pulled out at patient anus, and head a closing ins can ensure to be put into tumour inside conduit wall 1 and pulled out from patient anus
In the process, the device is not departed from.The closing in mode is similar to the principle of storage pocket, can be when pull closes up rope 9 so that
All tighten into osculum in the both ends of conduit wall 1.
Conduit wall 1 after inflating by that can expand so that the elastic material that entire conduit wall 1 contacts rectal wall is made.Elasticity
Conduit wall 1 made of material, in unaerated, small volume is conveniently put at abdominal cavity of patients's operation, is filled by air charging system
Gas increases volume, it is ensured that placing the operating process of tumour has enough spaces.
Conduit wall outer diameter after being sufficiently inflated is 5-10cm, length 20-30cm.
Gas as shown in Figure 6 fills the use step schematic diagram of formula lane device, tumour after operation needs to collect excision
When, which is filled into formula lane device and is placed at operation, by surgical clamp by the tail portion of the device（c）Pass through anus from patient's body
Door is placed on that patient is external, ensures that gas tube 2 is exposed at the external of patient.At this point, by squeezing spherical envelope 6, by spherical envelope 6
Interior air squeezes into conduit wall 1, and squeezing passage wall 1 is elastic material, can be expanded in inflation, and volume becomes larger to facilitating operation
It is middle that tumour is put into conduit wall 1.When in use, tumour is put into inside conduit wall 1 by doctor by surgical clamp, and then pull leads to
The closing in rope 9 of road wall 1 head a and tail portion c, by the conduit wall equal pulls of 1 head a and tail portion c into osculum.Then pass through body conduit wall
Entire gas is filled formula lane device and pulled out in vitro by 1 tail portion c.
The above is the preferred embodiment of the present invention, does not depart from this hair for those of ordinary skill in the art
Under the premise of bright principle, several variations and modifications can also be made, these also should be regarded as protection scope of the present invention.
Claims (6)
1. the gas that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device, it is characterised in that：Including conduit wall
（1）, gas tube（2）, at least two supporting racks（3）With at least one diaphragm（4）, the conduit wall（1）The cylinder led in both ends
Shape, including head（a）, middle part（b）And tail portion（c）；Conduit wall（1）It is divided into internal layer elastic thin-wall and outer layer elastic thin-wall, two layers
It is cavity between elastic thin-wall（5）；The gas tube（2）Positioned at conduit wall（1）Tail portion（c）Outer surface, and gas tube（2）With
Cavity（5）Connection；The conduit wall（1）Head（a）And tail portion（c）It is respectively equipped at least one supporting rack（3）, the support
Frame（3）Conduit wall is attached at for annular（1）Outer wall on solid annular structure；The conduit wall（1）Be additionally provided with inside middle part to
A few diaphragm（4）, the diaphragm（4）It is made of elastic material, diaphragm（4）Edge and conduit wall（1）Inner wall sealing connects.
2. the gas according to claim 1 that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device, special
Sign is：The gas fills formula lane device and further includes an air charging system, and the air charging system includes spherical envelope（6）And tubule
Shape gas nozzle（7）, the thin tube-like gas nozzle（7）Outer surface is equipped with many places annular protrusion（8）.
3. the gas according to claim 1 that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device, special
Sign is：The diaphragm（4）Including two diaphragms, diaphragm is staggered and position overlapping staggeredly.
4. the gas according to claim 1 that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device, special
Sign is：The conduit wall（1）Head（a）And tail portion（c）It is equipped with closing in rope（9）, the rope that closes up（9）It can be by channel
Wall（1）Head（a）And tail portion（c）It tightens as osculum.
5. the gas according to claim 1 that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device, special
Sign is：The conduit wall（1）By that can be expanded after inflating so that entire conduit wall（1）Contact the elastic material system of rectal wall
Into.
6. the gas according to claim 1 that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device, special
Sign is：The conduit wall（1）Outer diameter is 5-10cm, length 20-30cm after being sufficiently inflated.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810015561.7A CN108158616A (en) | 2018-01-08 | 2018-01-08 | The gas that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810015561.7A CN108158616A (en) | 2018-01-08 | 2018-01-08 | The gas that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108158616A true CN108158616A (en) | 2018-06-15 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810015561.7A Pending CN108158616A (en) | 2018-01-08 | 2018-01-08 | The gas that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device |
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| CN (1) | CN108158616A (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109171835A (en) * | 2018-09-28 | 2019-01-11 | 大连大学附属中山医院 | Protect bile and calculus collection device in gallbladder operation |
| CN110200667A (en) * | 2019-04-29 | 2019-09-06 | 孙许林 | A kind of endoscopic surgery soft channel and method for building up |
| CN110403706A (en) * | 2019-06-28 | 2019-11-05 | 吉林大学 | A kind of postoperative tumor specimen per anum taking-up inflatable lane device of Colon and rectum |
| CN110946626A (en) * | 2019-12-04 | 2020-04-03 | 山东大学齐鲁医院 | Expansion type tectorial membrane bracket for obtaining specimen through natural cavity channel, use method and application |
| CN111529017A (en) * | 2020-06-16 | 2020-08-14 | 蔡建春 | Rectum/anus expansion sleeve device for taking specimen from natural cavity |
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| CN208864360U (en) * | 2018-01-08 | 2019-05-17 | 浙江大学 | A kind of gas taking out tumor specimen used in the postoperative per anum of Colon and rectum fills formula lane device |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109171835A (en) * | 2018-09-28 | 2019-01-11 | 大连大学附属中山医院 | Protect bile and calculus collection device in gallbladder operation |
| CN109171835B (en) * | 2018-09-28 | 2023-10-27 | 大连大学附属中山医院 | Bile and calculus collecting device in gallbladder protecting operation |
| CN110200667A (en) * | 2019-04-29 | 2019-09-06 | 孙许林 | A kind of endoscopic surgery soft channel and method for building up |
| CN110403706A (en) * | 2019-06-28 | 2019-11-05 | 吉林大学 | A kind of postoperative tumor specimen per anum taking-up inflatable lane device of Colon and rectum |
| CN110946626A (en) * | 2019-12-04 | 2020-04-03 | 山东大学齐鲁医院 | Expansion type tectorial membrane bracket for obtaining specimen through natural cavity channel, use method and application |
| CN110946626B (en) * | 2019-12-04 | 2022-08-09 | 山东大学齐鲁医院 | Expansion type tectorial membrane bracket for obtaining specimen through natural cavity channel, use method and application |
| CN111529017A (en) * | 2020-06-16 | 2020-08-14 | 蔡建春 | Rectum/anus expansion sleeve device for taking specimen from natural cavity |
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Application publication date: 20180615 |