CN111243725B - Collaborative perception laparoscopic surgery constant pressure support system and implementation method thereof - Google Patents
Collaborative perception laparoscopic surgery constant pressure support system and implementation method thereof Download PDFInfo
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
Abstract
The invention relates to a collaborative sensing constant pressure support system for laparoscopic surgery and a realization method thereof, which are used for automatically sensing the real-time pressure of the abdominal cavity on the basis of an ultrasonic knife with a suction function, dynamically adjusting the size of an air inlet valve according to a standard set value, realizing dynamic air supplement and realizing the pressure balance of the abdominal cavity in the surgery process; the optimal air pressure of patients with different disease types (gastric cancer and colorectal cancer), disease period, sex, age, body condition and fat and thin (BMI) in the actual operation process is calculated and recorded by utilizing a historical database, the air pressure actually required by the operation is accurately set, the method has more general guiding significance, and a doctor with less operation experience is helped to set reasonable abdominal air pressure; the big data cluster analysis technology is used for continuously optimizing data, so that a more effect is achieved; the method has little influence on the existing operation system, and has good compatibility and usability; the invention can improve the efficiency and effect of laparoscopic surgery, reduce the pain of patients and postoperative complications and reduce the operation burden of doctors.
Description
Technical Field
The invention relates to a laparoscopic surgery air pressure control technology, in particular to a collaborative sensing laparoscopic surgery constant pressure support system and an implementation method thereof.
Background
The incidence rate and the death rate of digestive tract tumors such as colorectal cancer, gastric cancer and the like in China are all in the forefront, and the health of people is seriously affected. With the development of minimally invasive technology, particularly the continuous perfection of high-definition camera systems and laparoscopic instruments, the laparoscopic colorectal cancer and gastric cancer operation becomes feasible, the influence of the operation on the body immunity and the whole body condition of the patient can be reduced, the rapid rehabilitation surgery concept is more met, and the recovery of the patient is facilitated. Compared with the traditional open surgery, the laparoscopic surgery has the advantages of small wound, light pain, less bleeding, quick recovery, short hospitalization time and the like, and the laparoscopic surgery operation method is that a puncture outfit is used for puncturing a plurality of small holes of 0.5-1cm on the abdominal wall of a patient to establish a passage between the abdominal cavity and the outside, carbon dioxide gas is injected into the small holes and pneumoperitoneum is established, then the puncture outfit is used for placing the laparoscope with a camera system and a light source, the condition inside the abdominal cavity is transmitted to a liquid crystal screen through a camera, and an operator observes the screen to insert surgical instruments into the abdominal cavity through the puncture outfit for operation. Meanwhile, the improvement of laparoscopic surgery instruments is steadily advanced in the industry, for example, an ultrasonic knife with a suction function reduces the times of the ultrasonic knife entering and exiting the abdominal cavity, and shortens the surgery time. However, the pressure of pneumoperitoneum of carbon dioxide in the abdominal cavity is set by a doctor according to experience, and is generally 9-12 atmospheres, and a plurality of problems in the aspect of abdominal cavity air pressure control in the laparoscopic surgery include: (1) The pressure tolerance of the patient is not considered, and some patients can bear the pressure; however, other patients are prone to complications such as acidosis due to carbon dioxide incorporation into the blood. (2) In the operation process, because the liquid and the gas generated by gasifying human tissues of the ultrasonic knife are required to be removed in time, the pressure of the abdominal cavity can be reduced in the process of sucking and extracting the medical wastes, the existing air supplementing device can not balance and effectively ensure the stability of the air pressure of the abdominal cavity, if the air pressure is low, the operation progress is influenced, and if the air pressure is high, complications such as acidosis and the like can be possibly caused. (3) there is no precise digital air pressure regulation mechanism.
Disclosure of Invention
The invention provides a collaborative sensing laparoscopic surgery constant pressure support system and a realization method thereof, which aim at the problem that laparoscopic surgery has high control requirement on abdominal pressure, and provides a brand-new collaborative sensing intelligent laparoscopic surgery constant pressure support system which automatically senses abdominal real-time pressure and dynamically adjusts the size of an air inlet valve according to a standard set value on the basis of an ultrasonic knife with a suction function, thereby realizing dynamic air supplement and achieving abdominal cavity pressure balance in the surgical process.
The technical scheme of the invention is as follows: a collaborative perception laparoscopic surgery constant pressure support system comprises a plurality of sets of constant pressure surgical units in an operating room, an information access system, a database storage system and a pressure process analysis system;
the method comprises the steps that an operator submits relevant information of a patient to an information access system, the relevant information of the patient comprises disease types, disease periods, sexes, ages, body conditions, fat and thin BMI and conditions, the information access system submits the information to a database storage system after receiving the information, a pressure process analysis system analyzes data in the database storage system by using a multidimensional fuzzy search technology to find out a constant pressure surgical value which is most suitable for the disease types, disease periods, sexes, ages, body conditions and fat and thin of the patient, the constant pressure surgical value is sent to a communication module of a constant pressure surgical unit operated by the operator through the information access system, the constant pressure surgical unit sends the constant pressure surgical value to the constant pressure surgical unit, and the constant pressure surgical unit performs laparoscopic surgery pressure control according to the constant pressure surgical value.
The constant-pressure operation unit comprises an existing carbon dioxide pressurizing system of an operation room, an existing operation waste liquid and gas extraction and removal system of the operation room, an aspiration ultrasonic knife, a perception puncture outfit and a constant-pressure intelligent controller; the sensing puncture outfit comprises a traditional puncture outfit rigid body, an electronic air pressure sensing chip, a carbon dioxide air supply pipeline, a spray head and a sensing chip communication cable;
the suction ultrasonic knife comprises an ultrasonic knife and a surgical waste suction and discharge pipeline;
the constant-pressure intelligent controller comprises a supercharging electronic air valve, a negative-pressure electronic air valve, a miniature central computing unit, a communication module and a manual controller;
the carbon dioxide gas supply pipeline is fixed with the puncture outfit rigid body, an electronic pressure sensing chip is arranged in the carbon dioxide gas supply pipeline, signals of the electronic pressure sensing chip are sent to a miniature central computing unit in the constant-pressure intelligent controller, and the carbon dioxide gas supply pipeline is connected with a pressurizing system through a pressurizing electronic gas valve; the suction and discharge pipeline for sucking the surgical wastes of the ultrasonic knife is connected with a negative pressure system through a negative pressure electronic air valve, the miniature central computing unit outputs control signals to control the pressurizing electronic air valve and the negative pressure electronic air valve, and the signals of the manual controller are sent to the miniature central computing unit.
The supercharging electronic air valve and the negative pressure electronic air valve are all unidirectional gas digital valves and are used for controlling the flow rate of the gas entering and discharging the abdominal cavity, and are provided with n valve states; as the valve state number increases, the valve opening amplitude increases, and the difference in opening amplitude between each state is a constant.
The realization method of the collaborative perception laparoscopic surgery constant pressure support system comprises the steps that an information access system receives information from communication modules of all constant pressure surgical units; if the constant pressure operation unit makes an initialization request, an operation record OR is established for the operation according to the disease type, disease period, sex, age, body condition, fat-thin BMI, the condition and doctor information of corresponding equipment provided in the request; according to the OR record, sending query to the database storage system for the operation constant voltage value suitable for the patient, and feeding back the initial operation constant voltage value of the database storage system to the communication module of the corresponding constant voltage operation unit; if the request for changing the operation constant pressure value is a request for changing the operation constant pressure value, a modification record MR is established for the operation according to the disease type, the disease period, the sex, the age, the body condition, the fat and thin and doctor information of corresponding equipment provided by the communication module; transmitting the OR record to a database storage system, and modifying the corresponding OR operation constant voltage value of the database by the database storage system according to the MR operation constant voltage value;
the database storage system monitors and acquires OR OR MR records from the information access system in real time; if the record is OR, establishing one OR updating the OR record in the database according to the OR; if the record is newly established, a record is established in a database by using OR sent by the information access system; if the operation constant voltage value is updated, the operation constant voltage value of the OR which is already existing in the database is changed by utilizing the operation constant voltage value of the OR which is sent by the information access system;
the pressure process analysis system reads data in the database storage system, performs multidimensional attribute cluster analysis by utilizing all OR records, wherein the cluster attributes are the gender of a patient, the age of the patient, the condition of the patient, the fat and thin BMI of the patient, the condition of the patient and the operation constant voltage value of the OR of the patient, calculates the average value of the operation constant voltage values of all OR in each cluster, and establishes a cluster operation constant voltage value record ClusterR, clusterR for each cluster to represent the most suitable operation abdominal cavity pressure value of the patient; the pressure process analysis system dynamically and periodically performs the clustering optimization process according to the transformation condition of the operation constant voltage value recorded by the OR in the storage system so as to optimize the operation constant voltage value of ClusterR.
The invention has the beneficial effects that: the constant pressure support system and the realization method for the cooperative sensing laparoscopic surgery automatically sense the real-time pressure of the abdominal cavity, dynamically adjust the size of the air inlet valve according to the standard set value, realize dynamic air supplement and achieve the pressure balance of the abdominal cavity in the surgery process; the history database is utilized to calculate and record the optimal air pressure of patients with different disease types, disease periods, sexes, ages, body conditions and fat and thin in the actual operation process, the air pressure actually required by the operation is accurately set, the method has more general guiding significance, and doctors with little operation experience are helped to reasonably set the abdominal air pressure; the big data cluster analysis technology is applied, so that the data cannot be optimized, and a more effect is achieved; the invention has little influence on the existing operation system, has good compatibility and usability, can improve the efficiency and effect of laparoscopic surgery, reduces the pain and postoperative complications of patients, generally reduces the operation burden of doctors, and has important significance.
Drawings
FIG. 1 is a schematic diagram of a constant pressure surgical unit in a constant pressure support system with cooperative sensing for laparoscopic surgery according to the present invention; fig. 2 is a schematic structural diagram of the collaborative awareness intelligent laparoscopic surgery constant pressure support system of the present invention.
Detailed Description
As shown in fig. 1, the structure of the constant pressure operation unit in the constant pressure support system with collaborative sensing laparoscope operation is schematically shown, the constant pressure operation unit is CPOU (ID, SUK, ST, ICPC, BS, nps), wherein ID is the number of the constant pressure operation unit, BS is the existing carbon dioxide pressurizing system of the operation room, nps is the existing operation waste liquid and gas extraction and removal system of the operation room, SUK is an aspiration ultrasonic knife, ST is a sensing puncture outfit, and ICPC is a constant pressure intelligent controller.
The sensing puncture outfit comprises a sensor ST ID, tbody, tsensor, tpipe and a Tcable, wherein the ID is the number of the sensor ST, the Tbody is a rigid body of the traditional puncture outfit, the Tsensor is an electronic air pressure sensing chip, the Tppie is a carbon dioxide air supply pipeline and a spray head of the sensor ST, and the Tcable is a sensing chip communication cable.
The suction ultrasonic blade SUK is an ultrasonic surgical blade SUK (ID, spine, UK) having a suction function, which has an ultrasonic blade UK and a surgical waste suction-discharge Spine pipe. (patent: 201621317057.5).
The constant-pressure intelligent controller is ICPC (ID, beav, npeav, mc, cp, mcu, cm), wherein Beav is a supercharging electronic air valve, which is a unidirectional air digital valve for controlling the flow rate of air entering the abdominal cavity, and has n valve states B1, B2, … … and Bn; as the valve state number increases, the valve opening amplitude increases, and the opening amplitude difference between each state is a constant; npeav is a negative pressure electronic air valve, which is a one-way gas digital valve used for controlling the flow rate of the residual liquid and the gas discharged from the abdominal cavity operation, and has m valve states of N1, N2, … … and Nm; as the valve state number increases, the valve opening amplitude increases, and the opening amplitude difference between each state is a constant; cp is the abdominal pressure value that the ICPC needs to maintain; the MCU micro central computing unit, CM is communication module, can adopt the wired communication or wireless communication mechanism. The manual controller MC (B-, B+, N-, N+, C, CC) is a manual controller and is used by doctors for manually controlling the valve states of the pressurizing electronic air valve and the negative pressure electronic air valve; b-is a reducing control button of the supercharging electronic air valve, and the valve state of the supercharging electronic air valve is reduced by one every time the supercharging electronic air valve is pressed; b+ is an increasing control button of the supercharging electronic air valve, and the valve state of the supercharging electronic air valve is increased by one every time the supercharging electronic air valve is pressed; n-is a reduction control button of the negative pressure electronic air valve, and the valve state of the negative pressure electronic air valve is reduced by one every time the negative pressure electronic air valve is pressed; n+ is an increasing control button of the negative pressure electronic air valve, and the valve state of the negative pressure electronic air valve is increased by one every time the negative pressure electronic air valve is pressed; c is a stable air pressure button, and after being pressed, the intelligent controller takes the current abdominal cavity air pressure value as the operation constant pressure value in the stage. CC instructs ICPC to change its Cp value.
The carbon dioxide gas supply pipeline is fixed with the puncture outfit rigid body, an electronic pressure sensing chip is arranged in the carbon dioxide gas supply pipeline, signals of the electronic pressure sensing chip are sent to a miniature central computing unit in the constant-pressure intelligent controller, and the carbon dioxide gas supply pipeline is connected with a pressurizing system through a pressurizing electronic gas valve; the ultrasonic knife operation waste suction and discharge Spine pipeline is connected with the negative pressure system through the negative pressure electronic air valve, the miniature central computing unit outputs control signals to control the pressurizing electronic air valve and the negative pressure electronic air valve, and the manual controller signals are sent to the miniature central computing unit.
AS shown in fig. 2, the collaborative sensing intelligent laparoscopic surgery constant pressure support system is schematically shown, the collaborative sensing laparoscopic surgery constant pressure support system CPSS is CPSS (CPOUs, RS, DBS, AS), wherein cpouts are a set of constant pressure surgical units CPOU in a plurality of operating rooms, RS is an information access system, DBS is a database storage system, and AS is a pressure process analysis system.
The system is operated initially: the method comprises the steps that an operator submits relevant information of a patient to an RS, wherein the relevant information comprises disease types, disease periods, sexes, ages, body conditions and fat and thin, the RS receives the information and submits the information to a DBS, an AS analyzes data in the DBS by using a multidimensional fuzzy search technology, finds out an operation constant pressure value Cp which is most suitable for the disease types, the disease periods, the sexes, the ages, the body conditions and the fat and thin, and sends the Cp to a communication module of a constant pressure operation unit CPOU operated by the operator through the RS, and a communication module CM of the CPOU sends the Cp to an MCU of the CPOU;
after the MCU acquires Cp, the Cp is stored in the Cp of the constant-pressure intelligent controller ICPC, and the supercharging electronic valve Beav is driven to inject carbon dioxide into the sensing puncture outfit ST;
the MCU acquires the current pressure value PP of the abdominal cavity sensed by the Tsensor of the sensing puncture outfit ST, and when the PP is close to the Cp, the reduced Beav electronic valve state enters the abdominal cavity constant pressure work adjustment state.
Constant voltage intelligent controller constant voltage adjustment process:
1. the MCU acquires the current pressure value PP of the abdominal cavity sensed by the Tsense of the sensing puncture outfit ST;
2. if the PP value is smaller than Cp, increasing the state of the Beav electronic valve; if the PP value is greater than Cp, reducing the state of the Beav electronic valve; if the PP value is approximately equal to Cp, the current state of the Beav electronic valve is maintained;
3. manually regulating the voltage, and acquiring control information CI of a manual controller MC by an MCU;
if CI is B-, a state of the Beav electronic valve is lowered; if CI is B+, then the raised Beav electronic valve is in one state;
if CI is C, maintaining the current state of the Beav electronic valve; closing the automatic adjusting function of the Beav electronic valve;
if CI is N-, a state of the reduced Npeav electronic valve; if CI is N+, then raising the Beav electronic valve by one state;
if CI is CC, maintaining the current state of the Beav electronic valve; opening the automatic adjusting function of the Beav electronic valve; the abdominal current pressure value PP is set to the value of Cp.
4. After the operation is finished, the MCU transmits the current working pressure Cp to the RS through the CM, and the RS establishes a record of the doctor information, the disease type, the disease period, the sex, the age, the body condition, the fat and thin and the Cp value of the patient and stores the record into a database; if data already exists previously for the physician and the patient's procedure information, only the Cp value already recorded is updated.
The CPSS working process of the collaborative awareness intelligent laparoscopic surgery constant pressure support system is repeated by each system of the CPSS periodically:
1. the RS system receives information from communication modules CM of all CPOUs to which the CPSS belongs; if the constant pressure operation unit makes an initialization request, providing doctor information of disease type, disease period, sex, age, body condition, fat and thin of the patient and corresponding equipment of the patient according to the request, and establishing an operation record OR (ID, doctor ID, patient disease type, patient disease period, patient sex, patient age, patient body condition, patient fat and thin, cp) for the operation; sending query of Cp value suitable for the patient to DBS according to OR record, obtaining initial Cp value of DBS, and feeding back to communication module CM of corresponding CPOU; if a request for changing Cp value is made, a modified record MR (ID, doctor ID, patient disease, patient period, patient sex, patient age, patient condition, patient fat/thin, cp) is created for the procedure based on the disease, disease period, sex, age, body condition, fat/thin BMI, condition and doctor information of the corresponding device provided by the CM; and sending the record to the DBS according to the OR record, and modifying the Cp value of the OR corresponding to the database according to the Cp value of the MR by the DBS.
2. The DBS monitors and acquires OR OR MR records from the RS in real time; if OR, then one OR more of the OR records are created in the database based on OR (ID, doctor ID, patient type, patient period, patient gender, patient age, patient condition, patient fat/thin, cp); if the record is newly established, a record is established in the database by using OR sent by RS; if the value is updated, the OR.Cp sent by the RS is utilized to change the existing OR.Cp value in the database;
the AS reads the DBS database, and performs multidimensional attribute cluster analysis by utilizing all OR records in the DBS database, wherein the cluster attributes are patient disease types, disease periods, sexes, ages, body conditions, fat and thin, or.Cp of the patient, average value ACp is calculated for all OR.Cp in each cluster, one cluster Cp record is built for each cluster, and ClusterR (ID, patient disease types, patient disease periods, patient sexes, patient ages, patient body conditions, fat and thin of the patient, ACp) is built. Clusterir represents the most appropriate surgical procedure abdominal cavity pressure value for this class of patients. The AS dynamically and periodically performs the clustering optimization process according to the Cp value transformation condition recorded by the database OR to optimize the Cp value of ClusterR.
Claims (1)
1. A collaborative perception laparoscopic surgery constant pressure support system comprises a plurality of sets of constant pressure surgical units in an operating room, an information access system, a database storage system and a pressure process analysis system;
the method comprises the steps that an operator submits relevant information of a patient to an information access system, the relevant information of the patient comprises disease types, disease periods, sexes, ages, body conditions, fat and thin BMI and conditions, the information access system submits the information to a database storage system after receiving the information, a pressure process analysis system analyzes data in the database storage system by using a multidimensional fuzzy search technology to find out a constant pressure surgical value which is most suitable for the disease types, disease periods, sexes, ages, body conditions and fat and thin of the patient, the constant pressure surgical value is sent to a communication module of a constant pressure surgical unit operated by the operator through the information access system, the constant pressure surgical unit sends the constant pressure surgical value to the constant pressure surgical unit, and the constant pressure surgical unit performs laparoscopic surgery pressure control according to the constant pressure surgical value;
the constant-pressure operation unit comprises an existing carbon dioxide pressurizing system of an operation room, an existing operation waste liquid and gas extraction and removal system of the operation room, an aspiration ultrasonic knife, a perception puncture outfit and a constant-pressure intelligent controller;
the sensing puncture outfit comprises a traditional puncture outfit rigid body, an electronic air pressure sensing chip, a carbon dioxide air supply pipeline, a spray head and a sensing chip communication cable;
the suction ultrasonic knife comprises an ultrasonic knife and a surgical waste suction and discharge pipeline;
the constant-pressure intelligent controller comprises a supercharging electronic air valve, a negative-pressure electronic air valve, a miniature central computing unit, a communication module and a manual controller;
the carbon dioxide gas supply pipeline is fixed with the puncture outfit rigid body, an electronic pressure sensing chip is arranged in the carbon dioxide gas supply pipeline, signals of the electronic pressure sensing chip are sent to a miniature central computing unit in the constant-pressure intelligent controller, and the carbon dioxide gas supply pipeline is connected with a pressurizing system through a pressurizing electronic gas valve; the suction and discharge pipeline for sucking the surgical wastes of the ultrasonic knife is connected with a negative pressure system through a negative pressure electronic air valve, the miniature central computing unit outputs control signals to control the pressurizing electronic air valve and the negative pressure electronic air valve, and the signals of the manual controller are sent to the miniature central computing unit; the supercharging electronic air valve and the negative pressure electronic air valve are all unidirectional gas digital valves and are used for controlling the flow rate of the gas entering and discharging the abdominal cavity, and are provided with n valve states; as the valve state number increases, the valve opening amplitude increases, and the opening amplitude difference between each state is a constant; the information access system is characterized in that the information access system receives information from the communication modules of all constant-pressure operation units; if the constant pressure operation unit makes an initialization request, an operation record OR is established for the operation according to the disease type, disease period, sex, age, body condition, fat-thin BMI, the condition and doctor information of corresponding equipment provided in the request; according to the OR record, sending query to the database storage system for the operation constant voltage value suitable for the patient, and feeding back the initial operation constant voltage value of the database storage system to the communication module of the corresponding constant voltage operation unit; if the request for changing the operation constant pressure value is a request for changing the operation constant pressure value, a modification record MR is established for the operation according to the disease type, the disease period, the sex, the age, the body condition, the fat and thin and doctor information of corresponding equipment provided by the communication module; transmitting the OR record to a database storage system, and modifying the corresponding OR operation constant voltage value of the database by the database storage system according to the MR operation constant voltage value;
the database storage system monitors and acquires OR OR MR records from the information access system in real time; if the record is OR, establishing one OR updating the OR record in the database according to the OR; if the record is newly established, a record is established in a database by using OR sent by the information access system; if the operation constant voltage value is updated, the operation constant voltage value of the OR which is already existing in the database is changed by utilizing the operation constant voltage value of the OR which is sent by the information access system;
the pressure process analysis system reads data in the database storage system, performs multidimensional attribute cluster analysis by utilizing all OR records, wherein the cluster attributes are the gender of a patient, the age of the patient, the condition of the patient, the fat and thin BMI of the patient, the condition of the patient and the operation constant voltage value of the OR of the patient, calculates the average value of the operation constant voltage values of all OR in each cluster, and establishes a cluster operation constant voltage value record ClusterR, clusterR for each cluster to represent the most suitable operation abdominal cavity pressure value of the patient; the pressure process analysis system dynamically and periodically performs the clustering optimization process according to the transformation condition of the operation constant voltage value recorded by the OR in the storage system so as to optimize the operation constant voltage value of ClusterR.
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| CN107242886A (en) * | 2017-07-28 | 2017-10-13 | 佳木斯大学 | Minimally-invasive for laparoscopic surgery positions instrument and its protection support positioning mode |
| CN108685607A (en) * | 2018-06-15 | 2018-10-23 | 首都医科大学附属北京世纪坛医院 | Oncological Surgery Special constant temperature pneumoperitoneum system |
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| CN107242886A (en) * | 2017-07-28 | 2017-10-13 | 佳木斯大学 | Minimally-invasive for laparoscopic surgery positions instrument and its protection support positioning mode |
| CN108685607A (en) * | 2018-06-15 | 2018-10-23 | 首都医科大学附属北京世纪坛医院 | Oncological Surgery Special constant temperature pneumoperitoneum system |
| CN110403692A (en) * | 2019-08-01 | 2019-11-05 | 中国人民解放军陆军军医大学第一附属医院 | A kind of laparoscopic surgery controllable fume extractor of Anti-stabbing constant pressure type |
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