CN115054365A

CN115054365A - A art is with combined reaping apparatus of twin-lens for passing through bladder prostate enucleation

Info

Publication number: CN115054365A
Application number: CN202210749443.5A
Authority: CN
Inventors: 孙德明
Original assignee: Dongguan Fenggang Hospital
Current assignee: Dongguan Fenggang Hospital
Priority date: 2022-06-28
Filing date: 2022-06-28
Publication date: 2022-09-16

Abstract

The invention provides a double-lens combined harvesting device for a transvesical prostate enucleation, which comprises a workpiece, a crusher, a metal wire, a first camera, a second camera and a workpiece, wherein the workpiece is of an arc-bent rod-shaped structure, a plurality of channels are formed in the workpiece, and the crusher, the metal wire, the first camera and the second camera are arranged in the corresponding channels; a feed port arranged at the front end of the pulverizator is used for pulverizing and recovering enucleated gland tissues; the metal wire is used for pushing the stripping piece forwards and electrically cutting and electrocoagulation of glandular tissues; the first camera is used for monitoring the metal wire, and the second camera is used for monitoring the pulverizer. The device realizes the enucleation through the bladder and smashes to retrieve and go on in step, avoids the free tissue under the enucleation to occupy the operation space, influences the operation sight, consequently, has improved operation security and efficiency to be suitable for and use in primary hospital's popularization.

Description

A art is with combined reaping apparatus of twin-lens for passing through bladder prostate enucleation

Technical Field

The invention relates to the field of medical instruments for operation, in particular to a double-lens combined harvesting device for operation for transvesical prostate enucleation.

Background

Endoscopic enucleation of prostate is the mainstay of surgery for the treatment of prostatic hyperplasia. At present, the transurethral enucleation of prostate mainly adopts two energy sources of laser and plasma for cutting, but the high-power laser and the tissue pulverizator are expensive, thereby limiting the popularization of primary hospitals to a certain extent. Regardless of the cutting mode of the energy source, the operation steps are as follows: 1. cutting the prostate gland from the envelope layer completely (or mostly) by enucleation, and pushing the free gland tissue back into the bladder cavity or suspending near the bladder neck; 2. adopt special apparatus to smash and retrieve free prostate tissue, perhaps adopt plasma to cut off bold prostate tissue by knife, wash out the bladder with the bar massive tissue again, but this kind of step-by-step operation is when enucleating gland tissue, and the free tissue under the enucleation can occupy the operation space, influences the operation sight, influences the search of operation person to the incision face, very easily causes the drawback of hemorrhage, and the bladder also receives iatrogenic damage easily simultaneously.

In addition, the cutting end of the existing prostate enucleation tool is only provided with a sight glass lens, so that the single lens on the existing enucleation tool can only do part-time work for guaranteeing the first idea of operation safety, and then the obstruction is caused to the implementation of enucleation and the crushing and recycling synchronous work.

In addition, to special patients such as some prostate volumes are huge, the narrow damage of urethra, all can't put into the chamber mirror through above-mentioned urethra and carry out enucleation operation, because the particularity of prostate position before the body, current straight rod mirror also can't be operated through near abdomen pubic bone and through the bladder. Therefore, conventional open surgery is still required for such patients. This type of treatment can cause significant trauma to the patient and is not conducive to postoperative recovery.

Accordingly, a combined surgical harvesting device for transvesical prostatectomy is devised in view of the above-mentioned deficiencies.

Disclosure of Invention

The technical problem to be solved by the invention is as follows: when the existing prostate enucleation tool is used for performing prostate enucleation, the enucleation and crushing recovery work needs to be performed step by step, so that the defects of low operation safety and low operation efficiency are caused; and the disadvantages that special patients with huge prostate volume, urethral stricture injury and the like can not perform enucleation operation through a urethra endoscope and can only adopt the traditional open type operation are solved.

The technical scheme adopted by the invention for solving the technical problems is as follows:

a dual-lens combined harvesting device for transvesical prostatectomy is provided, comprising

The workpiece is of an arc-shaped bent rod-shaped structure, wherein the bending angle is 65-80 degrees, and a first channel, a second channel, a third channel, a fourth channel and a fifth channel are respectively formed from the front end to the rear end of the workpiece;

the eyepiece adapter is arranged at the rear end of the workpiece;

the handle is connected to the rear end of the eyepiece adapter; the outer side of the handle is hinged with a working handle which can be pressed and rotated;

the crusher is inserted into the fifth channel, and a feed inlet formed in the front end of the crusher is exposed out of the front end of the fifth channel; the discharge port arranged at the rear end of the pulverizer is communicated with a first valve arranged on the side wall of the rear end of the workpiece; a hinged rod is arranged in the feeding hole, a flexible shaft is arranged at the rear end of the hinged rod, the rear end of the flexible shaft is in transmission connection with a motor arranged at the rear end of the pulverizer, and blade-shaped hinged teeth are arranged on the hinged rod;

the metal wire is movably inserted into the first channel in a pulling mode, the front end of the metal wire is exposed out of the front end of the first channel and is arranged on one side of the crusher, the rear end of the metal wire is connected with the rotating end, arranged on the inner side of the handle, of the working handle, and the pulling and inserting actions of the metal wire are controlled through the working handle to carry out electric cutting or electric coagulation;

the first camera is arranged at the front end of the second channel and irradiates towards the metal wire, and the rear end of the first camera extends to the eyepiece adapter head end;

the second camera is arranged at the front end of the fourth channel and irradiates towards the feed port, and the rear end of the second camera extends to the end of the eyepiece adapter;

the front end of the fourth channel penetrates through the front end of the workpiece, and the rear end of the fourth channel is communicated with the second valve.

Preferably, the combined harvesting device further comprises a stripping piece arranged at the front end of the workpiece, the stripping piece is of a cylindrical shell structure, an coring groove is formed in one side end of the stripping piece, the front end of the shredder is arranged in the coring groove, and the feed port and the notch of the coring groove face to the same side;

a wire channel is arranged along the contour edge of the enucleation slot, the front end of the wire enters from one end of the wire channel and extends out from the other end of the wire channel, so that the front end of the wire forms a U-shaped bend, and the front end of the wire enters into a turning channel which is positioned on the opposite side of the first channel, so that the wire extends towards the rear end of the workpiece.

Preferably, the back end of the foldback channel is communicated with the first channel, the front end of the metal wire is folded back to the first channel through the foldback channel and extends towards the back end of the first channel, and the diameter of the foldback channel is 3-5 times of the diameter of the metal wire.

Preferably, the front end of the stripping part is of a cambered surface structure.

Preferably, the peeling member is of a transparent structure.

Preferably, a bearing is arranged on the inner side of the front end of the pulverizer, and the front end of the hinge rod is rotatably mounted on the inner side of the pulverizer through the bearing.

Preferably, a mounting frame is mounted on the motor, and the motor is fixed on the inner wall of the workpiece through the mounting frame.

Preferably, a sixth channel is further formed from the front end to the rear end of the workpiece, a light beam is arranged in the sixth channel, the front end of the light beam extends to the front end of the sixth channel, and the rear end of the light beam extends to a light beam interface on the side wall of the rear end of the workpiece.

Preferably, the first valve and the second valve are respectively disposed at both sides of the operating handle.

Preferably, a first button for controlling the electric cutting of the metal wire and a second button for controlling the electric coagulation of the metal wire are respectively arranged at the side end of the working handle, and a third button for controlling the start and stop of the pulverizer is arranged at the side end of the handle.

The invention has the beneficial effects that: the workpiece is bent in an arc shape of 65-80 degrees, so that the workpiece can enter the bladder from the opening of the abdominal wall above the pubis of a patient and then enter the prostate, and the prostate is positioned below the neck of the bladder, so that the bent structure can ensure that the workpiece passes through the path safely and is beneficial to the operation of the rear end of the workpiece. Thereby achieving prostate enucleation from above the pubic bone through the abdominal wall and through the bladder. The problem of special patients such as the current prostate is bulky, narrow damage of urethra can't put into the chamber mirror through the urethra and perform enucleation operation and can only adopt traditional open operation to bring is solved.

In addition, a cutting wire passage and a shredder passage are respectively established on the work piece, and the shredder passage is established on the cutting wire passage side. And install the camera lens that is used for shining cutting wire work end and grinder work end respectively at the work piece front end, corresponding camera lens can carry out real-time supervision to the two operating condition, and then realizes the enucleation under the prerequisite of guaranteeing operation safety and smashes to retrieve and go on in step, avoids the free tissue under the enucleation to occupy the operation space, influences the operation sight, consequently, has improved operation security and efficiency. In addition, the device is cheap for current surgical equipment such as laser and plasma, is suitable for batch production to can carry out disposable design, more sanitary convenient, be suitable for in primary hospital popularization and use.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.

Fig. 1 is a schematic view of the overall structure of a combine harvester according to an embodiment of the invention;

FIG. 2 is a schematic view of the full section of FIG. 1;

FIG. 3 is a schematic view of a portion of the enlarged structure of FIG. 1A;

FIG. 4 is a schematic cross-sectional view taken along line A-A of FIG. 1;

FIG. 5 is a schematic sectional view of the structure of FIG. 1B-B;

FIG. 6 is a schematic view of the cross-sectional structure of FIG. 1C-C;

FIG. 7 is a schematic view of the cross-sectional structure of FIG. 1D-D;

FIG. 8 is a schematic view of the relative movement of the working member and the stripping member of the combine harvester according to the embodiment of the present invention;

FIG. 9 is a schematic view of the structure of FIG. 1 from direction H;

fig. 10 is a schematic view of a shredder in a combine harvester according to an embodiment of the present invention;

in the figure: 1-workpiece, 1.1-first channel, 1.11-reentrant channel, 1.2-second channel, 1.3-third channel, 1.4-fourth channel, 1.5-fifth channel, 1.6-sixth channel, 1 a-first valve, 1 b-second valve, 1 c-light guide bundle interface, 2-stripper, 2.1-wire channel, 2.2-gouging slot, 3-wire, 4-eyepiece connector, 5-handle, 5 a-working handle, 5a 1-first button, 5a 2-second button, 5 b-third button, 6-shredder, 6.1-hinge rod, 6.2-flexible shaft, 6.3-motor, 6.4-feed inlet, 6.5-discharge outlet, 6.6-mounting rack,

7-beam, 8-sheath.

Detailed Description

The above-described scheme is further illustrated below with reference to specific examples. It is to be understood that these examples are for the purpose of illustrating the invention and are not to be construed as limiting the scope of the invention. The conditions used in the examples may be further adjusted according to the conditions of the particular manufacturer, and the conditions not specified are generally the conditions in routine experiments.

In one embodiment, a dual-lens combined harvesting device for transvesical prostate enucleation is provided, primarily for use in transvesical prostate enucleation procedures. Specifically include a work piece 1, be equivalent to the mirror pole in traditional sight glass, nevertheless this work piece 1 is the rod-like structure that the arc was bent, and its angle of bending is 65 ~ 80, and the main purpose of setting up this angle bending scope is: when in operation, a patient lies horizontally, the combined harvesting device is implanted from the opening of the abdominal wall above the pubic bone and from the opening, and because the operation work piece 1 enters the prostate through the bladder and the prostate is positioned below the bladder neck, the safety of the work piece 1 passing through the path is ensured and the rear-end operation of the work piece 1 is facilitated. Prostate enucleation from above the pubic bone, through the abdominal wall and through the bladder, is also the greatest difference over conventional transurethral and conventional open surgery. The specific bending angle can be selected to be 65 degrees, 70 degrees, 75 degrees or 80 degrees.

In order to realize synchronous and safe enucleation and recovery in the operation, a first channel 1.1, a second channel 1.2, a third channel 1.3, a fourth channel 1.4 and a fifth channel 1.5 are respectively arranged from the front end to the rear end of the workpiece 1; these channels are usually built on a mandrel in the workpiece 1, which is made of a plastic material that is preferably machined and formed, and this form belongs to the current endoscopic channel form and will be described in more detail herein. In addition, install eyepiece adapter 4 at work piece 1 rear end for transmit the image information that the camera lens was acquireed to display terminal. And a handle 5 is also arranged at the rear end of the working piece 1 for the convenience of the operation of the operator. In order to facilitate the installation and use of the handle, the handle 5 can be installed at the rear end of the eyepiece adapter 4 to form an integral structure, so that the integral structure of the device is more compact.

On this basis, for the recovery of the enucleation tissue, avoid the enucleation tissue to occupy the operation space and influence the operation field of vision, alternate in the fifth passageway 1.5 and set up the grinder 6. The concrete structure is as follows: the front end of the crusher 6 is provided with a feed inlet 6.4, the rear end is provided with a discharge outlet 6.5, wherein the transportation channel of the crusher 6 is a pipe body, the feed inlet 6.4 is arranged at one end of the pipe body, and the discharge outlet 6.5 is arranged at the other end of the pipe body, thus the crusher belongs to a common structure. However, in order to be able to penetrate into the fifth channel 1.5, the shape of the tube body should be adapted to the shape of the workpiece 1, i.e. to the bending shape or to be able to drive the bending. After installation, the feed inlet 6.4 is exposed out of the front end of the fifth channel 1.5; the rear outlet 6.5 is connected to a first valve 1a mounted on the rear end side wall of the working member 1, in particular, the first valve 1a is usually screwed and sealed on the side wall of the working member 1, so that it can be connected to the outlet 6.5 after screwing, which means that the first valve 1a is plugged or screwed on the outlet 6.5. Also belongs to the existing common connection form. When in use, the first valve 1a is connected with an external negative pressure suction apparatus to generate suction, thus realizing the function of negative pressure suction.

Wherein, for the realization is smashed the prostate tissue that enucleation got off, avoids blockking up 6 transport pipe ways of grinder, is provided with hinge stick 6.1 in feed inlet 6.4, is provided with blade form tooth on the hinge stick 6.1. In order to realize the rotation of the hinged rod 6.1, a flexible shaft 6.2 is arranged at the rear end of the hinged rod, and the rear end of the flexible shaft 6.2 is in transmission connection with a motor 6.3 arranged at the rear end of the pulverizer 6; wherein, the flexible shaft 6.2 is a steel wire flexible shaft. In order to ensure that the hinged rod 6.1 can be stably stirred in the feed inlet 6.4, the hinged rod 6.1 can adopt two mounting modes, the first mode is that the hinged rod 6.1 can be pressed at the feed inlet 6.4 through the flexible shaft 6.2 in a floating way because the stirring power is not very large, namely the front end of the hinged rod 6.1 is pressed at the front end of the inner side of the pulverizer 6; secondly, the bearing is arranged on the inner side of the front end of the crusher 6, the front end of the hinged rod 6.1 is rotatably arranged on the inner side of the crusher 6 through the bearing, the hinged rod 6.1 can stably rotate through the bearing, and the crushing efficiency is improved. In addition, in order to better realize the installation and the fixation of the crusher 6, a mounting frame 6.6 is arranged on the motor 6.3. During installation, the crusher 6 is gradually inserted into the fifth channel 1.5, after the front end of the crusher 6 reaches a designated position, the mounting frame 6.6 can abut against the rear end of the workpiece 1, the mounting frame 6.6 can be supported on the inner side of the workpiece 1, the motor 6.3 is further fixed on the inner wall of the workpiece 1, and meanwhile, the crusher 6 is integrally fixed.

In order to realize enucleation of the internal tissues of the gland, the enucleation instrument further comprises a metal wire 3 which is movably inserted in the first channel 1.1, the front end of the metal wire is exposed out of the front end of the first channel 1.1, the metal wire is arranged on one side of the pulverizator 6, and the metal wire is used for electric excision and electric coagulation hemostasis after being electrified; the metal wire 3 can be tungsten alloy electric cutting wire or stainless steel electric cutting wire, and the tungsten alloy electric cutting wire can be preferably used for preventing adhesion, cutting more effectively and causing less damage to deep layers.

In order to realize the telescopic control of the metal wire 3 and facilitate the cutting and hemostasis of different gland positions of an operator, a working handle 5a is hinged on the handle 5, one end of the working handle 5a is arranged on the inner side of the handle 5, the rear end of the metal wire 3 is connected with the end, and the drawing and inserting actions of the metal wire 3 can be controlled by controlling the working handle 5a by hands; wherein, in order to make the wire 3 retract automatically, install the torsional spring on the articulated shaft of work handle 5a, can make the work handle 5a automatic re-setting after pressing through the torsional spring.

Based on the above, in order to realize that enucleation and crushing retrieve synchronous and safe going on, need to monitor respectively wire 3 cutting and 6 recoveries of pulverizator. Two independently operating cameras are therefore used:

the first camera is arranged at the front end of the second channel 1.2 and irradiates towards the metal wire 3, and the second camera is arranged at the front end of the fourth channel 1.4 and irradiates towards the feeding hole 6.4. The camera is typically located close to the wire 3 or the feed opening 6.4. And first camera rear end and second camera rear end extend to 4 ends of eyepiece adapter and are connected with display terminal to can carry out with the screen display, consequently, the art person can look over the current operating condition of wire 3 and feed inlet 6.4 simultaneously through the screen when the operation, further improves the security of performing the operation.

In addition, in order to clean the operation port and cool the operation port during operation cutting, a fourth channel 1.4 is further arranged in the workpiece, the front end of the fourth channel penetrates through the front end of the workpiece 1, the rear end of the fourth channel 1.4 is communicated with the second valve 1b, and the communication mode of the fourth channel and the second valve is consistent with the communication mode of the discharge port 6.5 and the first valve 1a, which is not described again.

In addition, since the workpiece 1 is of a bent structure, in order to allow the workpiece 1 to enter the body through the abdominal incision, the surgical instrument further comprises an outer sheath 8 which is a flexible tube and is inserted into the abdominal incision to establish an implantation channel during use. After the workpiece 1 is inserted into the sheath 8, the sheath 8 can be bent along with the workpiece 1, so that the workpiece 1 and the sheath are inserted in a fitting manner, and the workpiece 1 can be pulled out and inserted and swing. And the inner wall of the sheath 8 is provided with a sealing sleeve, and the workpiece 1 is connected with the sheath 8 in a sealing way through the sealing sleeve, so that the pneumoperitoneum pressure is kept.

Synthesize above-mentioned technical scheme, below still improve gland enucleation portion to better going on enucleating to glandular tissue. The concrete improvement is as follows:

the combined harvesting device further comprises a stripping piece 2 arranged at the front end of the workpiece 1, the stripping piece is of a cylindrical shell structure, an enucleation groove 2.2 is formed in one side end of the stripping piece, a spoon shape is formed after the enucleation groove is formed, and glands cut by the enucleation groove can be folded. In addition, if realize the high-efficient enucleation of piece 2 of peeling off, need set up wire 3 along 2.2 notch profile edges of enucleation groove, specifically set up as follows: the metal wire channel 2.1 is arranged along the outline edge of the enucleation groove 2.2, the front end of the metal wire 3 enters from one end of the metal wire channel 2.1 and extends out from the other end, the front end of the metal wire 3 is bent to form a U shape, the front end of the metal wire 3 is inserted into the turning channel 1.11 on the opposite side of the first channel 1.1, and the metal wire 3 extends towards the rear end of the workpiece 1. From this, can see out "U" the metal wire 3 of bending that sets up along enucleation grooving 2.2 profile can improve the scope of "cutting edge" to "U" is bent and is more do benefit to the realization of enucleation action, and then effectively improves the efficiency of enucleation, and also can see out the tissue that the enucleation was removed and directly collect through enucleation grooving 2.2, and feed inlet 6.4 and the notch orientation homonymy setting of enucleation grooving 2.2, make the tissue that enucleation was removed enter feed inlet 6.4 fast and smash and reap.

In addition, when using, utilize the wire 3 to have certain support intensity and toughness, can make the wire 3 promote whole piece 2 of peeling off to carry out the seesaw through control work handle 5a and carry out in order to improve enucleation scope, wherein, whole piece 2 accessible wires of peeling off 3 promote 2cm forward, further improve convenient to use nature.

Based on the arrangement mode of the metal wire 3 folding, in order to avoid that the folding part of the metal wire 3 completely penetrates through the workpiece 1, the rear end of the folding channel 1.11 can be communicated with the first channel 1.1, namely, the front end of the workpiece 1 is communicated, when the metal wire 3 is installed, the front end of the metal wire 3 is folded back to the first channel 1.1 through the folding channel 1.11 and extends towards the rear end of the first channel 1.1, so that the two folded metal wires 3 are stored in the first channel 1.1, the strength and toughness of the metal wire are further improved, and the controllability of the stripping part 2 is improved. In order to enable the metal wire 3 to still perform telescopic motion, the diameter of the reentry channel 1.11 is set to be 3-5 times of the diameter of the metal wire 3, so that the metal wire which is bent back can slide in the reentry channel 1.11.

During operation, in order to avoid the stripping part 2 from touching other tissues of the gland and reduce accidents, the front end of the stripping part 2 is set into a cambered surface structure.

In addition, in order to improve the operation field and the operation safety, the stripping member 2 is provided with a transparent structure. The transparent structure can be made of polypropylene material, and has the characteristics of high strength and high temperature resistance. The wires 3 are usually isolated from the stripping members 2 by an insulating material, which better protects the stripping members, i.e. also performs the electro-cutting and electro-coagulation functions.

Similarly, for further improving the definition of the operation visual field, a sixth channel 1.6 is further provided from the front end to the rear end of the workpiece 1, a light beam 7 is arranged in the sixth channel 1.6, the front end of the light beam 7 extends to the front end of the sixth channel 1.6, the rear end of the light beam 7 extends to the light guide beam interface 1c on the side wall of the rear end of the workpiece 1 and is connected with a light source generating device, and then the brightness of the operation space can be improved through the light beam 7, and the operation safety is improved.

In operation, in order to control the opening and closing of the first valve 1a and the second valve 1b conveniently, the first valve 1a and the second valve 1b are respectively arranged on two sides of the working handle 5 a.

Similarly, in order to control the on/off of the wire 3 and the shredder 6, a first button 5a1 for controlling the electric cutting of the wire 3 and a second button 5a2 for controlling the electric coagulation of the wire 3 are respectively arranged at the side end of the working handle 5 a. And a third button 5b for controlling the start and stop of the shredder 6 is arranged at the side end of the handle 5. Thus being convenient for the operator to operate and use quickly.

In light of the foregoing description of the preferred embodiment of the present invention, many modifications and variations will be apparent to those skilled in the art without departing from the spirit and scope of the invention. The technical scope of the present invention is not limited to the content of the specification, and must be determined according to the scope of the claims.

Claims

1. A art is with two camera lenses combination reaping apparatus for passing through bladder prostate enucleation, its characterized in that includes

The workpiece (1) is of an arc-shaped bent rod-shaped structure, wherein the bending angle is 65-80 degrees, and a first channel (1.1), a second channel (1.2), a third channel (1.3), a fourth channel (1.4) and a fifth channel (1.5) are respectively formed from the front end to the rear end of the workpiece (1);

the eyepiece adapter (4) is arranged at the rear end of the workpiece (1);

the handle (5) is connected to the rear end of the eyepiece adapter (4); the outer side of the handle (5) is hinged with a working handle (5a) which can be pressed and rotated;

a crusher (6) which is inserted into the fifth channel (1.5), wherein a feed inlet (6.4) formed at the front end of the crusher (6) is exposed at the front end of the fifth channel (1.5); an outlet (6.5) arranged at the rear end of the crusher (6) is communicated with a first valve (1a) arranged on the side wall of the rear end of the workpiece (1); a hinged rod (6.1) is arranged in the feed port (6.4), a flexible shaft (6.2) is installed at the rear end of the hinged rod, the rear end of the flexible shaft (6.2) is in transmission connection with a motor (6.3) installed at the rear end of the pulverizer (6), and blade-shaped hinged teeth are arranged on the hinged rod (6.1);

the metal wire (3) is movably inserted into the first channel (1.1) in a drawing mode, the front end of the metal wire is exposed out of the front end of the first channel (1.1) and is arranged on one side of the crusher (6), the rear end of the metal wire (3) is connected with the rotating end, arranged on the inner side of the handle (5), of the working handle (5a), and the drawing and inserting actions of the metal wire (3) are controlled through the working handle (5a) to carry out electric cutting or electric coagulation;

the first camera is arranged at the front end of the second channel (1.2) and irradiates towards the metal wire (3), and the rear end of the first camera extends to the eyepiece adapter (4);

the second camera is arranged at the front end of the fourth channel (1.4) and irradiates towards the feed port (6.4), and the rear end of the second camera extends to the end of the eyepiece adapter (4);

the front end of the fourth channel (1.4) penetrates through the front end of the workpiece (1), and the rear end of the fourth channel (1.4) is communicated with the second valve (1 b).

2. The combined harvesting device with two lenses for operation of transvesical prostate enucleation according to claim 1, further comprising a dissector (2) arranged at the front end of the work piece (1), being of cylindrical shell structure and being provided with an enucleation slot (2.2) at one side end thereof, the front end of the morcellator (6) being placed within the enucleation slot (2.2), and the feed port (6.4) being arranged facing the same side as the notch of the enucleation slot (2.2);

a wire channel (2.1) is arranged along the outline edge of the gouging-out groove (2.2), the front end of the wire (3) enters from one end of the wire channel (2.1) and extends out from the other end, so that the front end of the wire (3) forms a U-shaped bend, and the front end of the wire (3) enters into a turning-back channel (1.11) which is positioned on the opposite side of the first channel (1.1), so that the wire (3) extends towards the rear end of the workpiece (1).

3. The intraoperative dual-lens combined harvesting device for transbladder enucleation of the prostate according to claim 2, characterized in that the posterior end of the reentrant channel (1.11) is placed in communication with the first channel (1.1), the anterior end of the wire (3) is retraced back to the first channel (1.1) through the reentrant channel (1.11) and extends towards the posterior end of the first channel (1.1), wherein the diameter of the reentrant channel (1.11) is 3-5 times the diameter of the wire (3).

4. A combined surgical two-lens harvesting device for transvesical prostatectomy according to claim 2, wherein the front end of the dissector (2) is of a cambered structure.

5. A combined surgical two-lens harvesting device for transvesical prostate enucleation according to claim 2, wherein the dissector (2) is of transparent construction.

6. The combined harvesting device with two lenses for surgery through cystectomy, according to claim 1, characterized in that inside the morcellator (6) front end there are bearings, through which the hinge rod (6.1) front end is rotatably mounted inside the morcellator (6).

7. A combined surgical two-lens harvesting device for transvesical prostate enucleation according to claim 1, characterized in that a mounting bracket (6.6) is mounted on the motor (6.3), and the motor (6.3) is fixed to the inner wall of the working member (1) by means of the mounting bracket (6.6).

8. The combined harvesting device with two lenses for transvesical prostatectomy as claimed in claim 1, wherein a sixth channel (1.6) is further opened from the front end to the rear end of the work piece (1), a light beam (7) is provided in the sixth channel (1.6), wherein the front end of the light beam (7) extends to the front end of the sixth channel (1.6), and the rear end of the light beam (7) extends to the light beam port (1c) of the side wall of the rear end of the work piece (1).

9. A combined surgical two-lens harvesting device for transvesical prostate enucleation according to claim 1, wherein the first valve (1a) and the second valve (1b) are placed in the direction of both sides of the working handle (5a), respectively.

10. The combined harvesting device with two lenses for operation by enucleation of the bladder prostate according to claim 1, wherein an electric first button (5a1) for controlling the electric excision of the wire (3) and a second button (5a2) for controlling the electric coagulation of the wire (3) are respectively provided at the side end of the working handle (5 a); and a third button (5b) for controlling the start and stop of the pulverizer (6) is arranged at the side end of the handle (5).