CN207590709U - Liver device is dialled for peritoneoscope stomach gut surgery - Google Patents
Liver device is dialled for peritoneoscope stomach gut surgery Download PDFInfo
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- CN207590709U CN207590709U CN201720304671.6U CN201720304671U CN207590709U CN 207590709 U CN207590709 U CN 207590709U CN 201720304671 U CN201720304671 U CN 201720304671U CN 207590709 U CN207590709 U CN 207590709U
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- liver
- utility
- banded structure
- peritoneoscope
- surgery
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Abstract
The utility model belongs to medical domain, is related to a kind of group liver device for peritoneoscope stomach gut surgery.It is described in the utility model to dial liver device for peritoneoscope stomach gut surgery, including：The integrally formed flat banded structure made of medical multilayer cotton yarn, the both ends of the flat banded structure are wider, intermediate relatively narrow；And a pair of of puncture needle, the both ends of the flat banded structure are respectively fixed to by connecting line.Described in the utility model group of liver device effectively can steadily push liver aside in peritoneoscope stomach gut surgery and stomach and intestine are blocked, create advantageous operative space, dial liver after effect stability, it is easy to operate, surgical field of view exposure effect is preferable, the possibility of liver injury can be reduced, and improves the safety of operation.
Description
Technical field
The utility model belongs to medical domain, is related to a kind of group liver device for peritoneoscope stomach gut surgery.
Background technology
Peritoneoscope stomach gut surgery with its wound it is small, restore fast advantage in wide clinical application.Laparoscope intestinal cancer root
It controls art and has become preferred art formula, the research evidence that Laparoscopic Gastrectomy with Lymph Node Dissection for Gastric Cancer becomes preferred art formula is more and more.Laparoscope
Human primary gastrointestinal cancers radical correction is at home and abroad carried out extensively.But under laparoscope in gastric cancer and Transverse Colonic Carcinoma radical correction, since liver is to stomach
Blocking for antetheca and transverse colon, is unfavorable for surgical procedure.
At present, widely used way is firmly to push liver, manufacture operation aside with long rod instrument by assistant in operation
Space, peritoneoscope stomach gut surgery generally continue to differ for 1-4 hours, and due to physical, the stability of above-mentioned traditional method is poor, and
It is largely physical assistant to be consumed.In this way, can not only extend operating time, and hinder the security implementation of operation.
To solve this problem, doctors take a series of corresponding schemes.For example, entitled, " peritoneoscope stomach operation is used
The Chinese invention patent application of liver retractor "（Application number：CN200710092855.1；Publication number：CN101138509）, should
Instrument uses non-invasive operation, the liver retractor face of lifting is positioned over below left liver siphonal lobe by additional puncturing hole, by left liver
It holds up to reach exposed visual area purpose.But the instrument needs assistant to manipulate liver tractor always, greatly increases Operation cooperation hardly possible
Degree, which lifts during liver between retractor and liver without fixed supporting point, so unstable, shift in position repeatedly
The Accessory injury of liver is often resulted in, and additional puncturing hole brings additional damage to patient.
There is scholar to develop a kind of liver leaflet suspension apparatus（Dai Xiaojiang etc., automatic liver suspension apparatus is under laparoscope
Application China's hysteroscope surgical magazines (electronic edition) in gastric bypass operation, 2014 (04):The 260-262 pages）, the device
It is made of purse wire and rubber tube, the puncture needle of rubber tube both sides sequentially passes through left lobe of liver essence, peritonaeum, subcutaneous tissue and skin
Skin, knot fixation outside stomach wall, and left lobe of liver is suspended in midair.The method causes liver centainly to have because puncture needle needs guiding through left lobe of liver
Wound damage, and liver soft smooth, easily slide when being contacted with rubber tube.
In addition, also there is the method that research is suspended in midair using left lobe of liver adhesive type（Liu Ming, plum Groceries army, Pan Xiaoming wait livers left
Leaf adhesive type is suspended in abdominal cavity radical operation for carcinoma of stomach and applies Chinese Journal of Gastrointestinal Surgery, 2016. 19 (3):343-
The of page 344）.This method is that one minute hand is penetrated abdominal cavity from xiphoid-process, needle point is made to be located on the inside of left liver liver edge as possible, in left liver diaphragmatic surface
Spray OB glue（Alpha-cyanoacrylate Rapid Medical Adhesive）, then manually by left lobe of liver jacking in 20 ~ 30s of diaphragm top, until glue
Hydropexis is firm.This method shortcoming：When using long pin puncture, easy liver injury；The OB glue bond times only have 15s, right
Service speed has higher requirements；If liver is looser, the amount of glue is more difficult to control；Glue, which is easily overflowed and trickled down, causes part dirty
Device is adhered.
Entitled " abdominal viscera suspender " Chinese utility model patent（The patent No.：201520904963.4；Publication number：
CN205144629U）A kind of abdominal viscera suspender is disclosed, the pad including being used to pull human body viscera, pad both sides difference
It is fixedly connected leaded, the free end of every lead is respectively connected with to puncture the draw point outside stomach wall to human body, abdomen out of human body
Chamber internal organs suspender further includes the silica gel sleeve pipe for protecting draw point prick into human body, and silica gel sleeve pipe is worn for a lead wherein
It after going out in vitro, then is sleeved on lead and is located at external part, two draw points knot be placed in silica gel sleeve pipe out of the human body.But
Found during practical operation, when firmly suspention liver, above-mentioned " abdominal viscera suspender " due to wide and easy clot, after clot
It is in the form of a column, since contact area is small, causes that left lobe of liver front end is fallen or rear end is fallen, influence its effect of pushing aside to liver.
The Chinese utility model patent of entitled " a kind of laparoscopic surgery liver suspension apparatus "（The patent No.：
201520328989.9；Publication number：CN204744271U）A kind of laparoscopic surgery liver suspension apparatus including suspender and hangs
Messenger wire, suspender are double-layer structure, and axis is equipped with support bar；Line is suspended in midair in " 8 " font to be unfolded and longitudinally through suspender, hang
The infall of messenger wire is fixed on the midpoint of support bar, and support bar midpoint is equipped with fixing line A and fixing line B.However, this device
When in use, suspention line needs guiding through liver, so as to cause centainly to damage to liver.
Invention content
In order to overcome the shortcomings of existing liver suspention or push mode aside, the purpose of this utility model is to provide a kind of use
Liver device is dialled in peritoneoscope stomach gut surgery, which effectively can steadily push liver aside to stomach and intestine in peritoneoscope stomach gut surgery
Block, create advantageous operative space, dial effect stability after liver, easy to operate, surgical field of view exposure effect is preferable, can reduce
The possibility of liver injury, and improve the safety of operation.
It is described in the utility model to dial liver device for peritoneoscope stomach gut surgery, including：It is made of medical multilayer cotton yarn
Integrally formed flat banded structure, the both ends of the flat banded structure are wider, intermediate relatively narrow；And a pair of of puncture needle, pass through
Connecting line is respectively fixed to the both ends of the flat banded structure.
The utility model is that the Hospital of Southern Medical University general surgery where the present inventor team implements abdomen every year
Nearly 1000 of hysteroscope human primary gastrointestinal cancers operation（Wherein more than 200 platform of laparoscope gastric cancer D2 radical corrections）A large amount of clinical practice on the basis of
It is proposed solve various shortcomings of the prior art, main problem is that sebific duct junction " line " is too thin, is suspended in midair energetically
Hepar damnification bleeding is be easy to cause when pushing liver aside, and the contact surface of sebific duct and liver is smaller, liver is pushed effect aside and tended not to
Reach the problems such as best.By described in the utility model group of liver device, substituted using the multilayer cotton yarn bandlet of different in width existing
There is " sebific duct " or " filament " in technology, so as to both avoid the danger of filament incised wound liver, can also play better liver and dial
Open effect, the more surgical procedure spaces of exposure.The utility model can be made into sterile medical product, easy to use, have wide
Wealthy market application foreground.
Description of the drawings
Fig. 1 is the structure diagram described in the utility model that dial liver device for peritoneoscope stomach gut surgery.
Reference numeral：1 puncture needle；2 connecting lines；3 wideband portions；4 narrow portions.
Specific embodiment
It is described in the utility model to dial liver device for peritoneoscope stomach gut surgery, as shown in Figure 1, including：By medical more
Integrally formed flat banded structure made of layer cotton yarn, wideband portions 3 of the flat banded structure including both ends are narrow with centre
Band part 4；And a pair of of puncture needle 1, the both ends of the flat banded structure are respectively fixed to by connecting line 2.
Making described in the utility model that dial liver device for peritoneoscope stomach gut surgery：Cotton yarn material is mainly used,
Whole device integration, convenient for sterilization wrap.
Application method described in the utility model that dial liver device for peritoneoscope stomach gut surgery：
（1）Open packet：Open product packaging bags（Sterile inner bag）.
（2）Enter abdomen：Present apparatus product is placed in by abdominal cavity by the abdomen wall puncture hole of operation, by it under the laparoscope visual field
Expansion.
（3）Adjustment and puncture：The narrow portion of the present apparatus is fixed on liver ligament, and the main function of wideband portions is adjustment
What expansion was contacted and was risen with liver, make itself and liver good contact.It determines two points of puncture, puncture needle band line is pierced by stomach wall；
In this way, utilizing the stability principle of " triangle ", root fixed point when " triangle " vertex is started for lobe of the liver, another 2 points is are worn
Pricker is pierced by point of puncture during stomach wall, and 3 points triangle, steadily pushes liver aside.
（4）It is fixed：When patient pushes liver to ideal position aside with instrument above-mentioned band-like dress is tightened by being pierced by external line
It puts, line in external knot is fixed, reaches to stablize and effectively dials liver effect.
Claims (1)
1. a kind of dial liver device for peritoneoscope stomach gut surgery, which is characterized in that including：
The integrally formed flat banded structure made of medical multilayer cotton yarn, the flat banded structure include the wideband portions at both ends
With intermediate narrow portion；And
A pair of of puncture needle is respectively fixed to the both ends of the flat banded structure by connecting line.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720304671.6U CN207590709U (en) | 2017-03-27 | 2017-03-27 | Liver device is dialled for peritoneoscope stomach gut surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720304671.6U CN207590709U (en) | 2017-03-27 | 2017-03-27 | Liver device is dialled for peritoneoscope stomach gut surgery |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN207590709U true CN207590709U (en) | 2018-07-10 |
Family
ID=62752163
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201720304671.6U Expired - Fee Related CN207590709U (en) | 2017-03-27 | 2017-03-27 | Liver device is dialled for peritoneoscope stomach gut surgery |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN207590709U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111388032A (en) * | 2020-03-19 | 2020-07-10 | 郑州大学第一附属医院 | Organ suspension device for endoscopic surgery |
| CN113598850A (en) * | 2021-08-30 | 2021-11-05 | 郝博 | Device for exposing upper abdomen part in laparoscopic surgery |
-
2017
- 2017-03-27 CN CN201720304671.6U patent/CN207590709U/en not_active Expired - Fee Related
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111388032A (en) * | 2020-03-19 | 2020-07-10 | 郑州大学第一附属医院 | Organ suspension device for endoscopic surgery |
| CN111388032B (en) * | 2020-03-19 | 2022-02-15 | 郑州大学第一附属医院 | Organ suspension device for endoscopic surgery |
| CN113598850A (en) * | 2021-08-30 | 2021-11-05 | 郝博 | Device for exposing upper abdomen part in laparoscopic surgery |
| CN113598850B (en) * | 2021-08-30 | 2023-08-25 | 蚌埠医学院第一附属医院（蚌埠医学院附属肿瘤医院） | Device for exposing abdomen in laparoscopic surgery |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180710 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |