CN112957087B - Laparoscopic surgery retractor, laparoscopic surgery tissue taking-out assembly and taking-out method - Google Patents

Laparoscopic surgery retractor, laparoscopic surgery tissue taking-out assembly and taking-out method Download PDF

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Publication number
CN112957087B
CN112957087B CN202110542868.4A CN202110542868A CN112957087B CN 112957087 B CN112957087 B CN 112957087B CN 202110542868 A CN202110542868 A CN 202110542868A CN 112957087 B CN112957087 B CN 112957087B
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blade
pilot
guide
traction
laparoscopic surgery
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CN112957087A (en
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杨翔
郝进争
王臣峰
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Shanghai Yodo Medical Technology Co ltd
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Shanghai Yodo Medical Technology Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0293Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements

Abstract

The invention discloses a laparoscopic surgery retractor, a laparoscopic surgery tissue taking-out assembly and a taking-out method, wherein the laparoscopic surgery retractor comprises a traction forceps, a first traction arm and a second traction arm, and the first traction arm is rotatably connected to the second traction arm; a first pilot blade adapted to be mounted to a first trailing arm; a second pilot blade adapted to be mounted to a second trailing arm; the laparoscopic surgery retractor has a mutual approaching state and a mutual departing state, and when the laparoscopic surgery retractor is in the mutual departing state, an object taking channel is formed between the first guide blade and the second guide blade. The operator can control opening and closing of two guide blades through operation tractive pincers to control two guide blades and switch each other between being close to the state each other and keeping away from the state each other, simple structure, convenient operation, and first guide blade, second guide blade, first tractive blade and second tractive blade can form the ring, carry out 360 no dead angles to the abdominal cavity incision and protect.

Description

Laparoscopic surgery retractor, laparoscopic surgery tissue taking-out assembly and taking-out method
Technical Field
The invention relates to the field of laparoscopic surgery drag hooks, in particular to a laparoscopic surgery drag hook, a laparoscopic surgery tissue taking-out assembly and a taking-out method.
Background
With the continuous development of science and technology, the medical level is continuously improved, and the laparoscopic surgery technology is rapidly developed. Laparoscopic surgery has the characteristics of less trauma and fast recovery compared to traditional open surgery, and is widely used in modern medical treatment.
The problem of taking out the huge tissue mass cut off under the laparoscope is always a great problem which troubles the development of minimally invasive surgery. For a long time, a method of rotary cutting a huge tissue into small pieces at the abdomen of a human body and then taking out the small pieces has been widely used. However, after the FDA in the united states announced that the "rotary-cut removal" method carries risk of spreading iatrogenic lesions, this method of removing large tissues is gradually abandoned. At present, an efficient and safe taking-out mode of massive tissues in laparoscopic surgery is clinically lacked.
In view of the foregoing, there is a need for an improved way of extracting large tissue after laparoscopic surgery.
Disclosure of Invention
In view of the above technical problems, an object of the present invention is to provide a laparoscopic surgery retractor, a laparoscopic surgery tissue extraction assembly, and an extraction method, in which an operator can control opening and closing of two guide blades by operating a retractor clamp, so as to control the two guide blades to be switched between a mutually close state and a mutually far state, thereby controlling opening and closing of an abdominal incision.
In order to achieve the above object, the present invention provides a retractor for laparoscopic surgery, comprising:
the traction forceps comprise a first traction arm and a second traction arm, and the first traction arm is rotatably connected with the second traction arm;
a first pilot blade adapted to be mounted to the first trailing arm;
a second pilot blade adapted to be mounted to the second trailing arm;
the laparoscopic surgical retractor has a mutually close state and a mutually far state, a first distance is reserved between the first guide blade and the second guide blade in the mutually close state, a second distance is reserved between the first guide blade and the second guide blade in the mutually far state, and the first distance is smaller than the second distance; the first guide blade and the second guide blade can be controlled to be mutually switched between the mutually close state and the mutually far state by operating the first traction arm and the second traction arm of the traction clamp;
when the laparoscopic surgery retractor is in the state of being far away from each other, an object taking channel is formed between the first guide vane and the second guide vane.
Preferably, the laparoscopic surgical retractor further comprises a first pulling blade and a second pulling blade;
the first pilot blade has a first end and a second end;
the second pilot blade has a third end and a fourth end;
the first puller blade is adapted to be placed in a gap between the first end of the first pilot blade and the third end of the second pilot blade and the second puller blade is adapted to be placed between the second end of the first pilot blade and the fourth end of the second pilot blade to spread apart the first pilot blade and the second pilot blade when the laparoscopic surgical retractor is in the spaced-apart state.
Preferably, the bottom end of the first guide vane has a first arc-shaped section bent outwards;
the bottom end of the second guide vane is provided with a second arc-shaped section bent outwards.
Preferably, the top end of the first guide vane is provided with a first blocking shoulder extending from the vane main body to the outer side;
the top end of the second guide vane is provided with a second retaining shoulder extending outwards from the vane main body;
the top end of the first pulling blade is provided with a third retaining shoulder extending outwards from the blade body;
the top end of the second pulling blade is provided with a fourth retaining shoulder extending outwards from the blade body.
Preferably, two ends of the first blocking shoulder are provided with a first limiting column and a second limiting column; the two ends of the second retaining shoulder are provided with a third limiting column and a fourth limiting column;
the two ends of the third retaining shoulder are provided with a first limiting groove and a second limiting groove; the two ends of the fourth retaining shoulder are provided with a third limiting groove and a fourth limiting groove;
when the first traction blade and the second traction blade are installed between the first guide blade and the second guide blade, the first limiting column is suitable for being clamped in the first limiting groove, the second limiting column is suitable for being clamped in the second limiting groove, the third limiting column is suitable for being clamped in the third limiting groove, and the fourth limiting column is suitable for being clamped in the fourth limiting groove, so that the position relation between the guide blade and the traction blade is limited in the horizontal direction.
Preferably, the first limiting column, the second limiting column, the third limiting column and the fourth limiting column are of two-section structures respectively and comprise a top limiting section and a bottom connecting section, the diameter of the top limiting section is larger than that of the bottom connecting section, and the diameter of the bottom connecting section is matched with the size and thickness of the first limiting groove, the second limiting groove, the third limiting groove or the fourth limiting groove.
According to another aspect of the present invention, the present invention further provides a laparoscopic surgical tissue extraction assembly comprising:
the laparoscopic surgery retractor is characterized in that the retractor comprises a hook body;
a storage bag;
when in use, the containing bag is firstly placed into an abdominal cavity after penetrating through an abdominal cavity incision, and after tissues are placed into the containing bag, the opening of the containing bag is pulled to the abdominal cavity incision and is turned to the outer side of the abdominal cavity; sequentially extending a first guide blade and a second guide blade of the laparoscopic surgery retractor into the containing bag and penetrating through the abdominal incision; fixing the first pilot blade and the second pilot blade to a first traction arm and a second traction arm of a traction clamp respectively; operating the first and second pull arms of the pull forceps to increase the distance between the first and second pilot blades to distract the abdominal incision.
According to another aspect of the present invention, there is further provided a method of using a laparoscopic surgical tissue extraction assembly, comprising:
placing a storage bag into the abdominal cavity through the abdominal incision, and placing tissues into the storage bag;
pulling the opening of the containing bag to the abdominal cavity incision and turning the containing bag to the outer side of the abdomen;
sequentially extending a first pilot blade and a second pilot blade into the containing bag, penetrating the containing bag through the abdominal incision, and respectively installing the first pilot blade and the second pilot blade on a first traction arm and a second traction arm of a traction clamp;
operating the first and second pull arms of the pull forceps to increase the distance between the first and second pilot vanes to distract the abdominal incision;
placing the first pulling blade and the second pulling blade between the first pilot blade and the second pilot blade to provide support to the first pilot blade and the second pilot blade.
Preferably, in the step of sequentially extending the first guide blade and the second guide blade into the receiving bag and passing through the abdominal incision, the method further comprises:
extending the first arc-shaped section of the first guide vane into the containing bag, and rotating the first guide vane while continuing to extend the first guide vane into the containing bag, so that a first blocking shoulder at the top of the first guide vane is abutted against an abdominal cavity;
and extending the second arc-shaped section of the second guide vane into the containing bag, and rotating the second guide vane while continuing to extend the second guide vane into the containing bag, so that the second shoulder at the top of the second guide vane is abutted against the abdominal cavity.
Preferably, "placing the first pulling blade and the second pulling blade between the first pilot blade and the second pilot blade" further comprises:
aligning the limiting grooves on the first pulling blade and the second pulling blade with the limiting columns on the first pilot blade and the second pilot blade.
Compared with the prior art, the laparoscopic surgery retractor, the laparoscopic surgery tissue extraction assembly and the laparoscopic surgery tissue extraction method provided by the invention have at least one of the following beneficial effects:
1. according to the laparoscopic surgery retractor, the laparoscopic surgery tissue taking-out assembly and the taking-out method, an operator can control the opening and closing of the two pilot blades by operating the retractor forceps, so that the two pilot blades are controlled to be mutually switched between a mutually close state and a mutually far state to control the opening and closing of an abdominal incision, the structure is simple, and the operation is convenient;
2. the laparoscopic surgery retractor, the laparoscopic surgery tissue taking-out assembly and the taking-out method provided by the invention have the advantages that the laparoscopic surgery retractor also comprises a first traction blade and a second traction blade, the first traction blade and the second traction blade can prop open the first guide blade and the second guide blade and encircle an abdominal cavity opening together with the first guide blade and the second guide blade, and 360-degree dead angles are avoided to protect the abdominal cavity opening;
3. the laparoscopic surgery retractor, the laparoscopic surgery tissue taking-out assembly and the taking-out method provided by the invention have the advantages that the bottom of the first guide blade is provided with the first arc-shaped section, the bottom of the second guide blade is provided with the second arc-shaped section, and the structural design of the arc-shaped sections at the bottom ends of the first guide blade and the second guide blade can prevent the storage bag and the abdominal cavity opening from being damaged in the installation process of the first guide blade and the second guide blade.
Drawings
The above features, technical features, advantages and modes of realisation of the present invention will be further described in the following detailed description of preferred embodiments thereof, which is to be read in connection with the accompanying drawings.
Fig. 1 is a perspective view of a laparoscopic surgical retractor according to a preferred embodiment of the present invention;
fig. 2 is an exploded view of the retractor for laparoscopic surgery according to the preferred embodiment of the present invention;
fig. 3 is a plan view of the laparoscopic surgical retractor according to the preferred embodiment of the present invention;
fig. 4 is a side view of the retractor for laparoscopic surgery according to the preferred embodiment of the present invention;
fig. 5 is a front view of the retractor for laparoscopic surgery according to the preferred embodiment of the present invention.
The reference numbers illustrate:
the laparoscopic surgery retractor 100, the retractor clamp 1, the first retractor arm 11, the second retractor arm 12, the object taking channel 10, the first guide blade 2, the first end 21, the second end 22, the first arc-shaped section 23, the first shoulder 24, the first limit post 241, the second limit post 242, the top limit section 25, the bottom connecting section 26, the second guide blade 3, the third end 31, the fourth end 32, the second arc-shaped section 33, the second shoulder 34, the third limit post 341, the fourth limit post 342, the first retractor blade 4, the third shoulder 41, the first limit groove 411, the second limit groove 412, the second retractor blade 5, the fourth shoulder 51, the third limit groove 511 and the fourth limit groove 512.
Detailed Description
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the following description will be made with reference to the accompanying drawings. It is obvious that the drawings in the following description are only some examples of the invention, and that for a person skilled in the art, other drawings and embodiments can be derived from them without inventive effort.
For the sake of simplicity, only the parts relevant to the invention are schematically shown in the drawings, and they do not represent the actual structure as a product. In addition, in order to make the drawings concise and understandable, components having the same structure or function in some of the drawings are only schematically illustrated or only labeled. In this document, "one" means not only "only one" but also a case of "more than one".
It should be further understood that the term "and/or" as used in this specification and the appended claims refers to and includes any and all possible combinations of one or more of the associated listed items.
In this context, it is to be understood that, unless otherwise explicitly stated or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
In addition, in the description of the present application, the terms "first", "second", and the like are used only for distinguishing the description, and are not intended to indicate or imply relative importance.
Example 1
Referring to the accompanying drawings 1 to 5 of the specification, the laparoscopic surgery retractor 100 provided by the present invention is illustrated, and through the laparoscopic surgery retractor 100 provided by the present invention, an operator can control the opening and closing of the two pilot blades by operating the retractor forceps, so as to control the two pilot blades to be switched between a mutually close state and a mutually far state, so as to control the opening and closing of the abdominal incision, and the structure is simple and the operation is convenient.
Referring to fig. 1 and 2 of the specification, in particular, the laparoscopic surgical retractor 100 includes a retractor clamp 1, a first guide blade 2, and a second guide blade 3. The traction forceps 1 comprises a first traction arm 11 and a second traction arm 12, wherein the first traction arm 11 is rotatably connected with the second traction arm 12. The first pilot blade 2 is adapted to be mounted to the first trailing arm 11; the second pilot blade 2 is adapted to be mounted to the second trailing arm 12.
The laparoscopic surgical retractor 100 has a mutually close state in which the first and second pilot blades 2 and 3 have a first distance therebetween and a mutually distant state; in the mutually distant state, the first and second pilot blades 2, 3 have a second distance therebetween, the first distance being smaller than the second distance; the first and second pilot blades 2, 3 can be controlled to switch between the mutually close state and the mutually distant state by operating the first and second pulling arms 11, 12 of the pulling tong 1. When the laparoscopic surgical retractor 100 is in the state of being away from each other, an extraction channel 10 is formed between the first guide blade 2 and the second guide blade 3.
It should be noted that, during the use of the laparoscopic surgical retractor 100 provided by the present invention, the operator only needs to operate the first pulling arm 11 and the second pulling arm 12 of the forceps 1 to rotate relatively to control the first guide blade 2 and the second guide blade 3 to approach or separate from each other, so as to switch between the approaching state and the separating state, which is simple in structure and convenient in operation.
Referring to fig. 2 of the specification, further, the laparoscopic surgical retractor 100 further includes a first retractor blade 4 and a second retractor blade 5. The first pilot blade 2 has a first end 21 and a second end 22; the second pilot blade 3 has a third end 31 and a fourth end 32. The first retractor blade 4 is adapted to be placed in a gap between the first end 21 of the first pilot blade 2 and the third end 31 of the second pilot blade 3 when the laparoscopic surgical retractor 100 is in the spaced-apart state. The second pulling blade 5 is adapted to be placed between the second end 22 of the first pilot blade 2 and the fourth end 32 of the second pilot blade 3 to spread the first pilot blade 2 and the second pilot blade 3.
It should be noted that the first guide blade 2, the second guide blade 3, the first traction blade 4, and the second traction blade 5 can mutually surround to form an annular traction structure, so that on one hand, the annular traction can be performed on the abdominal incision, and on the other hand, the abdominal incision can be protected in a non-dead angle manner in a 360-degree circumferential direction, so that the tissue taking efficiency after the abdominal operation is improved, and the safety during taking out is ensured.
Further, the bottom end of the first guide vane 2 is provided with a first arc-shaped section 23 bent outwards; the bottom end of the second pilot blade 3 has a second arc-shaped section 33 bent outward.
The arc structural design of the bottom ends of the first pilot blade 2 and the second pilot blade 3 can prevent the first pilot blade 2 and the second pilot blade 3 from damaging an abdominal incision or a storage bag in the process of inserting the abdominal incision or the storage bag, and the safety in the using process is improved.
Referring to fig. 2 in the specification, further, the top end of the first pilot blade 2 is provided with a first blocking shoulder 24 extending from the blade body to the outside; the tip of the second pilot blade 3 has a second shoulder 34 extending outward from the blade body; the tip of the first pulling blade 4 has a third shoulder 41 extending outward from the blade body; the tip of the second pulling blade 5 has a fourth shoulder 51 extending outward from the blade body.
It should be noted that the first shoulder 24, the second shoulder 34, the third shoulder 41 and the fourth shoulder 51 can contact with the top surface of the abdominal cavity to limit the depth of the first guide blade 2, the second guide blade 3, the first pulling blade 4 and the second pulling blade 5 extending into the abdominal incision, so as to prevent the first guide blade 2, the second guide blade 3, the first pulling blade 4 and the second pulling blade 5 from extending into the deep position of the abdominal incision.
With reference to fig. 2, fig. 3, fig. 4 and fig. 5 in the specification, further, both ends of the first blocking shoulder 24 are provided with a first limiting column 241 and a second limiting column 242; the second shoulder 34 has a third position-limiting column 341 and a fourth position-limiting column 342 at two ends thereof. The two ends of the third shoulder 41 are provided with a first limiting groove 411 and a second limiting groove 412; the fourth stopping shoulder 51 has a third limiting groove 511 and a fourth limiting groove 512 at both ends. When the first pulling blade 4 and the second pulling blade 5 are installed between the first guide blade 2 and the second guide blade 3, the first limiting post 241 is adapted to be clamped in the first limiting groove 411, the second limiting post 242 is adapted to be clamped in the second limiting groove 412, the third limiting post 341 is adapted to be clamped in the third limiting groove 511, and the fourth limiting post 342 is adapted to be clamped in the fourth limiting groove 512, so as to limit the position relationship between the guide blade and the pulling blade in the horizontal direction.
It should be noted that, the mutual fit between the limiting posts on the pilot blade and the limiting grooves on the pulling blade can prevent the pilot blade from sliding relatively in the horizontal direction relative to the pulling blade, so as to improve the stability of the installation relationship between the pilot blade and the pulling blade.
Referring to fig. 2 of the specification, further, the first limiting column 241, the second limiting column 242, the third limiting column 341, and the fourth limiting column 342 are respectively a two-segment structure, and include a top limiting segment 25 and a bottom connecting segment 26, the diameter of the top limiting segment 25 is greater than the diameter of the bottom connecting segment 26, and the diameter of the bottom connecting segment 26 is matched with the size and thickness of the first limiting groove 411, the second limiting groove 412, the third limiting groove 511, or the fourth limiting groove 512.
In this preferred embodiment, the first limiting groove 411, the second limiting groove 412, the third limiting groove 511 and the fourth limiting groove 512 are correspondingly engaged with the bottom connecting section 26 of the first limiting post 241, the second limiting post 242, the third limiting post 341 and the fourth limiting post 342. The top limiting sections 25 of the first limiting column 241, the second limiting column 242, the third limiting column 341 and the fourth limiting column 342 can limit the third shoulder 41 and the fourth shoulder 51 in the vertical direction.
It should be noted that, in some variant embodiments of the invention, the number of the retractor blades of the laparoscopic surgical retractor 100 can also be implemented as a plurality, and the specific number of the retractor blades should not be construed as a limitation to the invention.
Example 2
According to another aspect of the present invention, the present invention further provides a laparoscopic surgical tissue extraction assembly comprising: the laparoscopic surgical retractor 100 and the receiving bag according to embodiment 1 are described above. When in use, the containing bag is firstly placed into an abdominal cavity after penetrating through an abdominal cavity incision, and after tissues are placed into the containing bag, the opening of the containing bag is pulled to the abdominal cavity incision and is turned to the outer side of the abdominal cavity; sequentially extending the first guide blade 2 and the second guide blade 3 of the laparoscopic surgery retractor 100 into the containing bag and penetrating through the abdominal incision; the first guide blade 2 and the second guide blade 3 are respectively fixed on a first traction arm 11 and a second traction arm 12 of the traction forceps 1; the first and second pulling arms 11 and 12 of the pulling forceps 1 are operated to increase the distance between the first and second pilot blades 2 and 3 and to open the abdominal incision.
It should be noted that the first pilot blade 2 is detachably mounted to the first pulling arm 11 of the pulling tong 1, and the second pilot blade 3 is detachably mounted to the second pulling arm 12 of the pulling tong 1. For example, the preset positions of the first and second pulling arms 11 and 12 have installation protrusions, the preset positions of the first and second pilot blades 2 and 3 have installation clamping grooves, and the installation between the first and second pilot blades 2 and 3 and the first and second pulling arms 11 and 12 is realized by interference fit between the installation protrusions and the installation clamping grooves.
Example 3
According to another aspect of the present invention, there is further provided a method of using a laparoscopic surgical tissue extraction assembly, comprising:
101: placing a storage bag into the abdominal cavity through the abdominal incision, and placing tissues into the storage bag;
102: pulling the opening of the containing bag to the abdominal cavity incision and turning the containing bag to the outer side of the abdomen;
103: sequentially extending a first pilot blade 2 and a second pilot blade 3 into the containing bag, penetrating the containing bag through the incision of the abdominal cavity, and respectively installing the first pilot blade 2 and the second pilot blade 3 on a first traction arm 11 and a second traction arm 12 of a traction clamp 1;
103: operating the first and second pulling arms 11 and 12 of the pulling forceps 1 to increase the distance between the first and second pilot blades 2 and 3 and to open the abdominal incision;
104: the first pulling blade 4 and the second pulling blade 5 are placed between the first pilot blade 2 and the second pilot blade 3 to provide support to the first pilot blade 2 and the second pilot blade 3.
Further, in the step 103: in the step of sequentially extending the first pilot blade 2 and the second pilot blade 3 into the storage bag and passing through the abdominal incision, the method further comprises:
1031: extending the first arc-shaped section 23 of the first pilot blade 2 into the receiving bag, and rotating the first pilot blade 2 while continuing to extend the first pilot blade 2 into the receiving bag, so that the first blocking shoulder 24 at the top of the first pilot blade 2 abuts against the abdominal cavity;
1032: extending the second arc-shaped section 33 of the second pilot blade 3 into the storage bag, and rotating the second pilot blade 3 while continuing to extend the second pilot blade 3 into the storage bag, so that the second shoulder 34 at the top of the second pilot blade 3 abuts against the abdominal cavity.
Further, at said step 104: "placing the first pulling blade 4 and the second pulling blade 5 between the first pilot blade 2 and the second pilot blade 3", further includes:
1041: and aligning the limiting grooves on the first pulling blade 4 and the second pulling blade 5 with the limiting columns on the first pilot blade 2 and the second pilot blade 3.
It should be noted that the above embodiments can be freely combined as necessary. The foregoing is only a preferred embodiment of the present invention, and it should be noted that it is obvious to those skilled in the art that various modifications and improvements can be made without departing from the principle of the present invention, and these modifications and improvements should also be considered as the protection scope of the present invention.

Claims (6)

1. Laparoscopic surgery drag hook, its characterized in that includes:
the traction forceps comprise a first traction arm and a second traction arm, and the first traction arm is rotatably connected with the second traction arm;
a first pilot blade adapted to be mounted to the first trailing arm;
a second pilot blade adapted to be mounted to the second trailing arm;
the laparoscopic surgical retractor has a mutually close state and a mutually far state, a first distance is reserved between the first guide blade and the second guide blade in the mutually close state, a second distance is reserved between the first guide blade and the second guide blade in the mutually far state, and the first distance is smaller than the second distance; the first guide blade and the second guide blade can be controlled to be mutually switched between the mutually close state and the mutually far state by operating the first traction arm and the second traction arm of the traction clamp;
when the laparoscopic surgery retractor is in the mutually-far state, an fetching channel is formed between the first guide vane and the second guide vane;
wherein the laparoscopic surgical retractor further comprises a first pulling blade and a second pulling blade;
the first pilot blade has a first end and a second end;
the second pilot blade has a third end and a fourth end;
the first puller blade is adapted to be placed in a gap between the first end of the first pilot blade and the third end of the second pilot blade and the second puller blade is adapted to be placed between the second end of the first pilot blade and the fourth end of the second pilot blade to spread apart the first pilot blade and the second pilot blade when the laparoscopic surgical retractor is in the spaced-apart state.
2. The laparoscopic surgical retractor according to claim 1, wherein the bottom end of the first guide blade has a first arc-shaped section bent outward;
the bottom end of the second guide vane is provided with a second arc-shaped section bent outwards.
3. The laparoscopic surgical retractor according to claim 2, wherein the tip of said first pilot blade has a first shoulder extending laterally outwardly from the blade body;
the top end of the second guide vane is provided with a second retaining shoulder extending outwards from the vane main body;
the top end of the first pulling blade is provided with a third retaining shoulder extending outwards from the blade body;
the top end of the second pulling blade is provided with a fourth retaining shoulder extending outwards from the blade body.
4. The laparoscopic surgical retractor according to claim 3, wherein the first shoulder has a first stopper post and a second stopper post at both ends; the two ends of the second retaining shoulder are provided with a third limiting column and a fourth limiting column;
the two ends of the third retaining shoulder are provided with a first limiting groove and a second limiting groove; the two ends of the fourth retaining shoulder are provided with a third limiting groove and a fourth limiting groove;
when the first traction blade and the second traction blade are installed between the first guide blade and the second guide blade, the first limiting column is suitable for being clamped in the first limiting groove, the second limiting column is suitable for being clamped in the second limiting groove, the third limiting column is suitable for being clamped in the third limiting groove, and the fourth limiting column is suitable for being clamped in the fourth limiting groove, so that the position relation between the guide blade and the traction blade is limited in the horizontal direction.
5. The laparoscopic surgical retractor according to claim 4, wherein the first, second, third and fourth retaining posts are two-segment structures respectively, and comprise a top retaining segment and a bottom connecting segment, the diameter of the top retaining segment is larger than that of the bottom connecting segment, and the diameter of the bottom connecting segment is matched with the size and thickness of the first, second, third or fourth retaining grooves.
6. A laparoscopic tissue extraction assembly, comprising:
the laparoscopic surgical retractor of any one of claims 1 to 5;
a storage bag;
when in use, the containing bag is firstly placed into an abdominal cavity after penetrating through an abdominal cavity incision, and after tissues are placed into the containing bag, the opening of the containing bag is pulled to the abdominal cavity incision and is turned to the outer side of the abdominal cavity; sequentially extending a first guide blade and a second guide blade of the laparoscopic surgery retractor into the containing bag and penetrating through the abdominal incision; fixing the first pilot blade and the second pilot blade to a first traction arm and a second traction arm of a traction clamp respectively; operating the first and second pull arms of the pull forceps to increase the distance between the first and second pilot blades to distract the abdominal incision.
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