CN204890057U - Per anum surgical instruments gets into subassembly - Google Patents

Per anum surgical instruments gets into subassembly Download PDF

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Publication number
CN204890057U
CN204890057U CN201520457992.0U CN201520457992U CN204890057U CN 204890057 U CN204890057 U CN 204890057U CN 201520457992 U CN201520457992 U CN 201520457992U CN 204890057 U CN204890057 U CN 204890057U
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theater instruments
operating theater
passage device
per anum
instruments according
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CN201520457992.0U
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张�浩
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Abstract

The utility model relates to the technical field of medical equipment, especially, relate to a per anum surgical instruments gets into subassembly, including the passageway ware, still include the sealed lid of being connected with the passageway ware, the outer end of sealed lid is provided with at least one operation passageway that is used for inserting medical instrument, and the passageway ware is provided with and inserts celiac portion of tailorring. The utility model discloses a per anum surgical instruments gets into subassembly fits length and the shape that the portion of tailorring was pruned to shape according to the degree of depth of pathological change and shape, and the pathological change position is convenient for show with the shape by the minister's degree of tailorring after tailorring, keeps apart non - operation position, both conveniently implements the operation, can protect non - operation position to avoid surgical instruments again and harm, the efficiency of the operation is improved, it is painful to have reduced the disease, has reduced the operation cost.

Description

A kind of per anum operating theater instruments enters assembly
Technical field
This utility model relates to technical field of medical instruments, particularly relates to a kind of per anum operating theater instruments and enters assembly.
Background technology
In recent years, the surgical operation of peritoneoscope Peep Technology is used extensively to be promoted at home.Per anum Minimally Invasive Surgery observes the position of focus and the performance of operation by laparoscopic technique mostly, needs at arrangement abdominal cavity, anus place passage device, is convenient to insert pick-up lens and various operating theater instruments; During operation, by the image transmitting of the various internal organs of intraperitoneal captured by the Intraabdominal photographic head of insertion on telescreen, surgeon is by observing image, and operation implemented by operation apparatus in vitro.In operation process, the activity space of operating theater instruments is very narrow and small, in order to avoid No operation position is scratched by operating theater instruments, operating theater instruments passes a passage device mostly close to operative site, diseased region exposes to implement operation by passage device, No operation position and operating theater instruments are kept apart simultaneously, avoid operating theater instruments to accidentally injure No operation position, decrease sufferer misery.Current existing passage device is mostly regular length; because the diseased region of different patient is mostly different; so the passage device of regular length needs to design much different specifications; shape simultaneously due to pathological changes is also mostly different, and the passage device that is of convenient length also is difficult to play the effect at No operation position of adequately protecting.
Current per anum Minimally Invasive Surgery has two kinds of seal covers: one is single-hole laparoscopic passage device (SILP), and another is per anum Micro-operation/surgery systems (TEM/TEO).The former single-hole laparoscopic passage device (SILP) does not have the extension fixture of anus and rectum usually, also the use framework drag hook traction had is expanded anal canal but is not had proctectasia device, so that the easy slippage of single hole passage device in operation technique, affect seal, be not easy to look at straight detecting in descending rectum enteric cavity, clean, get biopsy, intestinal canal anastomosis is rebuild, in art, otch far-end normal rectal mucosa easily damages; When rectum has wriggling, contraction, gas leakage, operation technique difficulty.In addition, the operating walk way hole on passage device is generally fixed on the harder lid of quality, and each hole site is relatively fixing, makes the opereating specification of single-port laparoscope instrument by restriction to a certain extent.
Therefore be necessary to provide a kind of per anum operating theater instruments to enter assembly, the first, can according to the different position of pathological changes and shape, regulate length and the shape in cutting portion, adequately protect the damage of No operation position from operating theater instruments; The second, fully can expand rectum, avoid the slippage of passage device; 3rd, make the operating theater instruments of insertion passage device have larger range of activity, avoid influencing each other during operation.
Utility model content
The purpose of this utility model is to provide a kind of per anum operating theater instruments to enter assembly for the deficiencies in the prior art; can according to the different position of pathological changes and shape; regulate length and the shape in cutting portion, be namely convenient to operation technique, adequately protect again the damage of No operation position from operating theater instruments.
For achieving the above object, a kind of per anum operating theater instruments of the present utility model enters assembly, comprises passage device, also comprises the seal cover be connected with passage device, the outer end of described seal cover is provided with at least one for inserting the operating walk way of medical apparatus and instruments, and passage device is provided with the cutting portion that can insert abdominal cavity.
Preferably, described seal cover is provided with 3,4,5 or 6 for inserting the operating walk way of medical apparatus and instruments.
Preferably, described cutting portion outer wall is provided with some reinforcement ridges.
Preferably, described seal cover is provided with the upper surface of elastic material, and operating walk way is arranged at this upper surface.
Preferably, described seal cover is provided with air-filled pore.
Preferably, described seal cover upper surface is provided with thickening part.
Preferably, operating walk way is extended with body laterally, and body one end is provided with closed flaps.
Preferably, described passage device one end is provided with installation portion, and described seal cover is provided with socket part, and socket part and installation portion removably connect.
Preferably, also comprise for the latch assembly by installation portion and socket part locking; Also comprise support ring, this support ring is arranged at the inside of described installation portion.
Preferably, described latch assembly comprises band and the spanner for locking band, and described band is socketed on socket part.
Preferably, described support ring is the becket with opening.
Preferably, also comprise expansion head, the expansion dish that described expansion head is provided with cylindrical portion and is connected with this cylindrical portion, described passage device is provided with stopper; During operation, described cylindrical portion is sheathed on described passage device, and stopper is connected to expansion dish.
Preferably, also comprise the expansion core for fully expanding anorectal, described expansion core is provided with the introduction part being convenient to insert anorectal and prevents expanding core and slips into the back-up ring of anorectal.
Preferably, also comprise the measurement body for measuring lesion locations, this measurement body is provided with mark portion for labelling lesion locations and observation window.
The beneficial effects of the utility model: a kind of per anum operating theater instruments of the present utility model enters assembly, assisted by endoscope or look at straight, detect out position and the shape of pathological changes, according to the degree of depth of pathological changes and the length in shape cutting cutting portion and shape, cutting portion is made to approach focus, be convenient to appear focus and isolation No operation position, medical apparatus and instruments enters anorectal by operating walk way; The length of the passage device after conformal cutting and shape ensure that operating theater instruments enters into the position of being convenient to implement operation, both convenient enforcement was performed the operation, and No operation position can be protected again from the damage of operating theater instruments, improve procedure efficiency, decrease sufferer misery, reduce operation cost; In addition, the beneficial effect that this utility model realizes further has: the first, fully can expand rectum, avoids the slippage of passage device; The second, passage device can be made to be fixed on anus edge, to avoid the slippage of passage device; 3rd, make the operating theater instruments of insertion passage device have larger range of activity, avoid influencing each other during operation; 4th, improve the seal of passage device, avoid gas leakage.
Accompanying drawing explanation
Fig. 1 is perspective view of the present utility model.
Fig. 2 is stereochemical structure decomposing schematic representation of the present utility model.
Partial schematic sectional view when Fig. 3 is members of the present utility model combination.
Fig. 4 is the perspective view of passage device of the present utility model.
Fig. 5 is the perspective view of seal cover of the present utility model.
Fig. 6 is the perspective view of latch assembly of the present utility model.
Fig. 7 is the perspective view of measurement body of the present utility model.
The perspective view that Fig. 8 is measurement body of the present utility model and expands when head supports the use.
The perspective view that Fig. 9 is expansion core of the present utility model and expands when head supports the use.
Figure 10 is the perspective view of another embodiment of seal cover of the present utility model.
Reference numeral comprises:
1-passage device, 2-measurement body, 3-expansion head
4-seal cover, 5-latch assembly, 6-support ring
7-expansion core
11-strengthen ridge 12-stopper 13-installation portion
14-cutting portion
21-mark portion, 22-observation window
31-cylindrical portion, 32-expansion dish
41-operating walk way, 42-socket part, 43-body
44-closed flaps, 45-thickening part, 46-air-filled pore
51-band, 52-spanner
71-introduction part, 72-back-up ring.
Detailed description of the invention
Below in conjunction with accompanying drawing, this utility model is described in detail.
Embodiment one.
As shown in Fig. 1 ~ 10, a kind of per anum operating theater instruments of the present utility model enters assembly, comprise passage device 1, also comprise the seal cover 4 be connected with passage device 1, the outer end of described seal cover 4 is provided with at least one for inserting the operating walk way 41 of medical apparatus and instruments, and passage device 1 is provided with the cutting portion 14 that can insert abdominal cavity.Concrete, medical apparatus and instruments enters anorectal by operating walk way 41, assisted by endoscope or look at straight, detect out position and the shape of pathological changes, prune length and the shape in cutting portion 14 according to the degree of depth of pathological changes and shape, make cutting portion 14 approach focus, be convenient to appear focus and isolation No operation position, protect the normal rectal mucosa of incisxal edge distal end portion to damage from apparatus, especially when rectum shrinks wriggling, BENTONG logos and utensils 1 can play desirable supporting role simultaneously; In addition, after the passage device 1 conformal cutting shape of pathological changes (adapt to carry out cutting), can when exempting from gas, carry out rectal lesion local excision operation (being especially applicable to being applied to operation technique when intestinal tube and abdominal cavity penetrate); The passage device of same specification is applicable to diverse location, difform pathological changes by pruning, avoids the passage device needing to design plurality of specifications, effectively isolates No operation position simultaneously, avoid No operation position to be accidentally injured by operating theater instruments; Avoid being scratched for ease of cutting and protection anorectal, described passage device 1 is elastic material (such as: rubber, silica gel etc.), concrete, anorectal fully can be opened be convenient to passage device 1 to enter into suitable position by anorectal dilator, anorectal sufficient lubrication also can be made to be convenient to passage device 1 and insert; Passage device 1 length after conformal cutting and shape ensure that operating theater instruments enters into the position of being convenient to implement operation smoothly, and both convenient enforcement operation, can protect again No operation position to damage from operating theater instruments; Improve procedure efficiency, decrease sufferer misery, reduce operation cost.
In the present embodiment, described cutting portion 14 outer wall is provided with some reinforcement ridges 11.Concrete, passage device 1 enters anorectal through expansion 3, approach focus, in order to avoid anorectal is scratched, passage device 1 is mostly elastic material (such as: silica gel, rubber etc.), the contraction of anorectal, wriggling makes passage device 1 bear certain active force, strengthen ridge 11 and be arranged in cutting portion 14 outer wall, it can be ring-type, screw-like or latticed etc., body 43 is for increasing the intensity in cutting portion 14, avoid passage device 1 extrusion, not easily sunken, thus avoid operating theater instruments to depart from being convenient to the position of implementing operation, carry out smoothly providing condition for performing the operation, improve procedure efficiency, the reinforcement ridge 11 being arranged on cutting portion 14 outer wall plays the effect supporting intestinal wall simultaneously, avoids intestinal wall and the laminating of cutting portion 14 tube wall to cause adhesive, tears anorectal wall and cause intestinal wall to damage, alleviate patient's slight illness when avoiding passage device to pass in and out anorectal.
In the present embodiment, described seal cover 4 is provided with the upper surface of elastic material, and operating walk way 41 is arranged at this upper surface.Concrete, described seal cover 4 upper surface (upper surface, namely as Fig. 1, upper surface during 3 placement) be elastic material, may also be whole seal cover 4 is elastic material, multiple operating theater instruments enters operative site through operating walk way 41, operating walk way 41 by elastic material (such as: silica gel, rubber etc.) connect, ensure operating theater instruments free deflection and the adjusting angle within the specific limits through operating walk way 41, avoid the mutual operating theater instruments of operating theater instruments to diseased region excision difficulty, procedure efficiency is caused to reduce, thus ensure that operation is carried out smoothly, improve procedure efficiency, shorten operating time, reduce sufferer painful, reduce operation risk, improve success rate of operation.
In the present embodiment, operating walk way 41 is extended with body 43 laterally, and body 43 one end is provided with closed flaps 44.Concrete, body 43 is connected by elastic material (such as: silica gel, rubber etc.), ensure operating theater instruments free deflection and the adjusting angle within the specific limits through body 43, body 43 can be elastic material, be conducive to flexible operating operating theater instruments further, avoid the mutual operating theater instruments of operating theater instruments to diseased region excision difficulty, procedure efficiency is caused to reduce, thus ensure that operation is carried out smoothly, improve procedure efficiency, shorten operating time, reduce sufferer painful, reduce operation risk, improve success rate of operation; Part anal-surgery needs to pass into gas toward anorectal, and anorectal is expanded to perform the operation, and closed flaps 44(is as Fig. 5, and closed flaps 44 can be two panels lobe, three lobes, four lobes or five lobes.) be embedded between operating walk way 41 and operating theater instruments after operating theater instruments update passage 41, for closed procedure passage 41, closed flaps 44 also can realize ensureing the unidirectional function passed through of air-flow, when operating theater instruments is extracted from operating walk way 41 or extract rear closed procedure passage 41, prevent the gas in passage device from flowing out, avoid anorectal to leak gas, ensure that operation is carried out smoothly, improve procedure efficiency.
In the present embodiment, described passage device 1 one end is provided with installation portion 13, and described seal cover 4 is provided with socket part 42, and socket part 42 and installation portion 13 removably connect.Different lesion locations needs the cutting portion 14 of pruning out different length, need for seal cover changes different passage devices if desired, socket part 42 removably connects from installation portion 13 (such as: be spirally connected, snapping, socket etc.) be convenient to change different passage devices, improve procedure efficiency, reduce operation risk.
In the present embodiment, also comprise the latch assembly 5 for installation portion 13 and socket part 42 being locked; Also comprise support ring 6, this support ring 6 is arranged at the inside of described installation portion 13.Described latch assembly 5 comprises band 51 and the spanner 52 for locking band 51, and described band 51 is socketed on socket part 42; Described latch assembly 5 also can be by being wound around the flexible strand realizing locking.Latch assembly 5 can realize unclamping and tightening band 51 by regulating the position of spanner 52 fast, thus realizes departing from fast and connecting socket part 42 and installation portion 13, and then realizes quick-replaceable passage device 1, improves procedure efficiency, reduces operation cost.Concrete, installation portion 13 and socket part 42 are locked by latch assembly 5, during locking, latch assembly 5 pairs of installation portions 13 and socket part 42 apply certain pressure, support ring 6 is inside installation portion 13, for supporting installation portion 13, avoid the stressed rear distortion of installation portion 13 and socket part 42, improve the stability of assembly, avoid passage device to leak gas; Support ring 6 can be also the becket do not closed, and makes support ring 6 have elastic deformation, can adapt to more latch assembly 5.
In the present embodiment, described seal cover 4 is provided with air-filled pore 46.Concrete, the operation of part per anum needs to be filled with certain gas toward anorectal, can convenient insufflation gas by this air-filled pore 46, and gas makes anorectal expand, improves surgical facilitation, is conducive to performing the operation carrying out smoothly.
Embodiment two.
As shown in Figure 10, the difference of the present embodiment and embodiment one is, is provided with thickening part 45 on the upside of described seal cover 4.Concrete, medical apparatus and instruments through seal cover 4 admission passage device 1, when medical apparatus and instruments weight is larger, as heavier endoscope, inconvenience supports, cause the distortion that seal cover 4 is larger, cause interference to other operating theater instruments, there is stronger rigidity thickening part 45, better supporting role is played to medical apparatus and instruments, cause seal cover 4 to be out of shape after avoiding medical apparatus and instruments admission passage device 1, ensure that operation is carried out smoothly, improve procedure efficiency.
The remainder of the present embodiment is identical with embodiment one, in the present embodiment unaccounted feature, all adopts the explanation of embodiment one, no longer repeats here.
Embodiment three.
As shown in Fig. 1,2,3,8,9, the present embodiment and embodiment one difference are, also comprise expansion 3, a described expansion 3 expansion dish 32 being provided with cylindrical portion 31 and being connected with this cylindrical portion 31, described passage device 1 is provided with stopper 12; During operation, described cylindrical portion 31 is sheathed on described passage device 1, and stopper 12 is connected to expansion dish 32.Concrete, expansion 3 is held in anus, and expansion dish 32 is sutured in anus edge, anus is fully opened, make the anal canal usually tightened be in continual and steady expansion state in whole operation, be beneficial to the carrying out of performing the operation, also can be measurement body 2, expansion core 7 or entering of passage device 1 and passage is provided, stopper 12 is arranged on the one end in cutting portion 14, the overall dimensions of stopper 12 is greater than cutting portion 14, stopper 12 can be circular, lamellar etc., cutting portion 14 after pruning approaches focus, passage device 1 is through after expansion 3, stopper 12 is connected to expansion dish 32, prevent passage device 1 from slipping into rectum, simultaneously stopper 12 also can be inlayed riveted with the expansion of hard 3 and sealed, not easily slippage, make anorectal seal reliable, anorectal gas leakage when avoiding inflation to perform the operation, operating theater instruments enters operative site through passage device 1, an expansion 3 passage device 1 preventing anorectal contraction squeezing passage device 1 from causing are out of shape, avoid anorectal effect of contraction doctor to the operation of operating theater instruments, be conducive to line-of-sighting observation rectum intestinal intracavity lesion, cleaning, sterilization, be conducive to accurately selecting incisxal edge, be convenient to draw materials and send pathologic finding, the riveted being conducive to passage device is fixed, and improves procedure efficiency further, reduces sufferer painful, reduces operation cost.
The remainder of the present embodiment is identical with embodiment one, in the present embodiment unaccounted feature, all adopts the explanation of embodiment one, no longer repeats here.
Embodiment four.
The difference of the present embodiment and embodiment one is, also comprises the expansion core 7 for fully expanding anorectal, and described expansion core 7 is provided with the introduction part 71 being convenient to insert anorectal and prevents expanding core 7 and slips into the back-up ring 72 of anorectal.Expansion core 7 coordinates with expansion 3, inserting anorectal, fully expanding anorectal by being socketed with the expansion core 7 expanding 3, is convenient to entering of passage device 1 or measurement body 2, is convenient to the cleaning of anorectal, sterilization and incisxal edge biopsy, improves procedure efficiency.
The remainder of the present embodiment is identical with embodiment one, in the present embodiment unaccounted feature, all adopts the explanation of embodiment one, no longer repeats here.
Embodiment five.
As shown in drawings, the difference of the present embodiment and embodiment one is, also comprises the measurement body 2 for measuring lesion locations, and this measurement body 2 is provided with mark portion 21 for labelling lesion locations and observation window 22.Concrete, detect the focus degree of depth and shape by measuring body 2, endoscope enters the inside measuring body 2, detects lesions position and shape, by mark portion 21(such as: rule, vernier cursor etc. by observation window 22) degree of depth of marked lesion position; According to the lesions position that measurement body 2 records, the length in cutting cutting portion 14, the shape of the pathological changes gone out by endoscopic observation, prunes the shape in cutting portion 14; The measurement body 2 being provided with observation window 22 and rule is convenient to the shape marking lesions position fast and accurately, observe out pathological changes, be convenient to anorectal detect, clean, sterilize and the biopsy of rectum incisxal edge, be convenient to length and the shape of pruning cutting portion 14, improve procedure efficiency.
The remainder of the present embodiment is identical with embodiment one, in the present embodiment unaccounted feature, all adopts the explanation of embodiment one, no longer repeats here.
A kind of per anum operating theater instruments enters assembly, concrete, after abundant expansion anus, by the expansion head 3(with expansion core 7 as shown in Figure 9) implant anus, anus edge is fixed in expansion 3 stitching; Withdrawing from expansion core 7, will measuring body 2 through expanding head 3(as shown in Figure 8) implantation rectum, carries out the detecting of rectum enteric cavity, cleans, sterilizes, the biopsy of rectum incisxal edge, sewn closed rectal cavity or from disconnected rectum;
According to lesion locations cutting cutting portion 14, implant this passage device 1, with expansion 3 riveted (as shown in Figure 3);
Seal cover 4 is enclosed within the installation portion 13 of silica gel passage device 1, clamps with latch assembly 5; Rectum resection hands art is carried out after anorectal gas injection;
Passage device 1 is withdrawn from after being separated rectum and sigmoid colon by per anum; Deviate from rectum;
At excision pathological changes section rectum, after coincide sigmoid colon and far-end rectum, withdraw from expansion 3.
The remainder of the present embodiment is identical with embodiment one, in the present embodiment unaccounted feature, all adopts the explanation of embodiment one, no longer repeats here.
Known this utility model is have above-described good characteristic in sum, is made it in use, promotes in conventional art the usefulness that do not have and has practicality, becoming the product that has practical value.
Above content is only preferred embodiment of the present utility model, for those of ordinary skill in the art, according to thought of the present utility model, all will change in specific embodiments and applications, this description should not be construed as restriction of the present utility model.

Claims (10)

1. a per anum operating theater instruments enters assembly, comprise passage device (1), it is characterized in that: also comprise the seal cover (4) be connected with passage device (1), the outer end of described seal cover (4) is provided with at least one for inserting the operating walk way (41) of medical apparatus and instruments, and passage device (1) is provided with the cutting portion (14) that can insert abdominal cavity.
2. a kind of per anum operating theater instruments according to claim 1 enters assembly, it is characterized in that: described cutting portion (14) outer wall is provided with some reinforcement ridges (11).
3. a kind of per anum operating theater instruments according to claim 1 enters assembly, it is characterized in that: described seal cover (4) is provided with the upper surface of elastic material, and operating walk way (41) is arranged at this upper surface.
4. a kind of per anum operating theater instruments according to claim 1 enters assembly, it is characterized in that: described seal cover (4) upper surface is provided with thickening part (45).
5. a kind of per anum operating theater instruments according to claim 1 enters assembly, it is characterized in that: operating walk way (41) is extended with body (43) laterally, and body (43) one end is provided with closed flaps (44).
6. a kind of per anum operating theater instruments according to claim 1 enters assembly, it is characterized in that: described passage device (1) one end is provided with installation portion (13), described seal cover (4) is provided with socket part (42), and socket part (42) and installation portion (13) removably connect.
7. a kind of per anum operating theater instruments according to claim 6 enters assembly, it is characterized in that: also comprise the latch assembly (5) for installation portion (13) and socket part (42) being locked; Also comprise support ring (6), this support ring (6) is arranged at the inside of described installation portion (13).
8. a kind of per anum operating theater instruments according to claim 1 enters assembly, it is characterized in that: also comprise expansion head (3), the expansion dish (32) that described expansion head (3) is provided with cylindrical portion (31) and is connected with this cylindrical portion (31), described passage device (1) is provided with stopper (12); During operation, described cylindrical portion (31) is sheathed on described passage device (1), and stopper (12) is connected to expansion dish (32).
9. a kind of per anum operating theater instruments according to claim 1 enters assembly, it is characterized in that: also comprise the expansion core (7) for fully expanding anorectal, described expansion core (7) is provided with the introduction part (71) being convenient to insert anorectal and prevents expanding core (7) slips into the back-up ring (72) of anorectal.
10. a kind of per anum operating theater instruments according to claim 1 ~ 9 any one enters assembly, it is characterized in that: also comprise the measurement body (2) for measuring lesion locations, this measurement body (2) is provided with mark portion (21) for labelling lesion locations and observation window (22).
CN201520457992.0U 2015-06-30 2015-06-30 Per anum surgical instruments gets into subassembly Active CN204890057U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104921764A (en) * 2015-06-30 2015-09-23 张�浩 Transanal surgical instrument access assembly
CN106821510A (en) * 2017-03-08 2017-06-13 中国人民解放军第三军医大学第三附属医院 Per anum hysteroscope radical resection of rectal carcinoma platform
CN109770967A (en) * 2019-01-25 2019-05-21 中国人民解放军陆军特色医学中心 A kind of robot per anum platform

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104921764A (en) * 2015-06-30 2015-09-23 张�浩 Transanal surgical instrument access assembly
CN106821510A (en) * 2017-03-08 2017-06-13 中国人民解放军第三军医大学第三附属医院 Per anum hysteroscope radical resection of rectal carcinoma platform
CN106821510B (en) * 2017-03-08 2019-06-18 中国人民解放军第三军医大学第三附属医院 Per anum hysteroscope radical resection of rectal carcinoma platform
CN109770967A (en) * 2019-01-25 2019-05-21 中国人民解放军陆军特色医学中心 A kind of robot per anum platform

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