CN219661787U - Liver suspension device is assisted to peritoneoscope - Google Patents
Liver suspension device is assisted to peritoneoscope Download PDFInfo
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- CN219661787U CN219661787U CN202320680303.7U CN202320680303U CN219661787U CN 219661787 U CN219661787 U CN 219661787U CN 202320680303 U CN202320680303 U CN 202320680303U CN 219661787 U CN219661787 U CN 219661787U
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- liver
- elastic
- ring
- suspension device
- needle
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- 210000004185 liver Anatomy 0.000 title claims abstract description 103
- 239000000725 suspension Substances 0.000 title claims abstract description 35
- 238000009958 sewing Methods 0.000 claims abstract description 17
- 208000032843 Hemorrhage Diseases 0.000 abstract description 12
- 208000034158 bleeding Diseases 0.000 abstract description 11
- 230000000740 bleeding effect Effects 0.000 abstract description 11
- 208000035965 Postoperative Complications Diseases 0.000 abstract description 5
- 239000008280 blood Substances 0.000 abstract description 4
- 210000004369 blood Anatomy 0.000 abstract description 4
- 238000002271 resection Methods 0.000 description 15
- 238000000034 method Methods 0.000 description 9
- 230000008901 benefit Effects 0.000 description 7
- 238000012752 Hepatectomy Methods 0.000 description 6
- 241000255925 Diptera Species 0.000 description 5
- 230000008569 process Effects 0.000 description 5
- 230000006872 improvement Effects 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 238000002324 minimally invasive surgery Methods 0.000 description 3
- 238000000465 moulding Methods 0.000 description 3
- 235000004035 Cryptotaenia japonica Nutrition 0.000 description 2
- 102000007641 Trefoil Factors Human genes 0.000 description 2
- 235000015724 Trifolium pratense Nutrition 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 206010001526 Air embolism Diseases 0.000 description 1
- 208000032984 Intraoperative Complications Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010057765 Procedural complication Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 230000002440 hepatic effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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- Surgical Instruments (AREA)
Abstract
The utility model discloses a laparoscope-assisted liver suspension device, and relates to the technical field of medical auxiliary instruments. Comprising the following steps: the elastic hanging ring is used for being fixed on the surface of the liver and is elastic; one end of the silk thread is fixed on the elastic hanging ring; and the liver needle is used for guiding the other end of the silk thread to fix the elastic hanging ring and the liver in a sewing way. The utility model can fully display the operation field, increase the tension of the liver splitting plane in operation, better expose the internal ducts of liver parenchyma, reduce the bleeding risk in operation and after operation, reduce the incidence rate of postoperative complications, and simultaneously has good usability, convenient operation and stronger innovation; the auxiliary suspension device can help doctors shorten the operation time, reduce the bleeding and blood transfusion amount in the operation and reduce the complication risk of the patient in the operation period.
Description
Technical Field
The utility model relates to the technical field of medical auxiliary instruments, in particular to a laparoscope auxiliary liver suspension device.
Background
With the accumulation of surgical experience and the development of laparoscopic instruments, laparoscopic hepatectomy gradually expands from the initial left external lobe resection, anterior lobe resection, etc. of the liver to the resection of the liver at complex sites such as the right posterior lobe resection, caudal lobe resection, or even left trefoil and right trefoil resections. Laparoscopic complex hepatectomy, including, for example, the IVa segment of the liver, the right posterior leaflet and the caudal leaflet hepatectomy, remain somewhat challenging for most hepatobiliary surgeons. Mainly because the focus positions are deeper, the endoscope is difficult to expose, a certain operation skill is needed, the operation time is long, and complications such as bleeding during operation, air embolism during operation and the like are easily caused. These intraoperative complications present a challenge for operating room care coordination. Auxiliary liver suspension techniques can expose the resection range to some extent, providing a better surgical field of view.
In the prior art, the liver to be resected is lifted by carefully lifting the instrument, but the instrument is easy to bleed when directly contacting the liver, so that the bleeding amount is increased, the operation time is prolonged, the operation risk is increased, and the operation can only be performed by a doctor with abundant operation experience at present.
Earlier studies by the inventors found that for example, for tail leaf tumors, the application of a simple liver suspension auxiliary device can fully display the operative field, increase the tension of the liver splitting plane during the operation, better expose the intrahepatic parenchyma duct, reduce the risk of bleeding during and after the operation, and reduce the incidence rate of postoperative complications.
Disclosure of Invention
According to the characteristics of laparoscopic liver surgery, the utility model is intended to be applied to liver resection by designing a simple suspension device, and to evaluate the benefit of the application of an analysis auxiliary device to laparoscopic liver resection by designing a prospective control study.
In order to achieve the above purpose, the present utility model provides the following technical solutions: a laparoscopically assisted liver suspension device comprising:
the elastic hanging ring is used for being fixed on the surface of the liver and is elastic;
one end of the silk thread is fixed on the elastic hanging ring;
and the liver needle is used for guiding the other end of the silk thread to fix the elastic hanging ring and the liver in a sewing way.
Optionally, the elastic hanging ring comprises an elastic ring, and more than two sewing needle rings are arranged at the outer ring part of the elastic ring.
Optionally, the sewing needle ring is a plurality of and equidistantly arranged.
Optionally, the elastic ring is a rubber band ring, and the elastic ring and the sewing needle ring are integrally formed.
Optionally, the elastic hanging ring comprises a plurality of semicircular elastic strips, wherein two semicircular elastic strips are used for being fixed on the surface of the liver, and the other semicircular elastic strips are used for lifting and hanging.
Optionally, the two ends of the wire bound behind the elastic hanging ring are different in redundant length, and the liver needle guides the longer one end wire to carry out the liver with the ligature of elastic hanging ring.
Optionally, the shape of the elastic hanging ring is a circle or a regular polygon.
Optionally, the elastic sling is a circular surgical glove band.
Optionally, the liver needle is a bendable and straight liver needle.
Optionally, the wire is a surgical suture.
Compared with the prior art, the utility model has the beneficial effects that:
through the application of the device, the operation field can be fully displayed, the tension of a liver splitting plane in operation is increased, the liver parenchyma inner duct is better exposed, the bleeding risk in operation and after operation is reduced, and the occurrence rate of postoperative complications is reduced. Meanwhile, the method has good usability, is convenient to operate, and has stronger innovation; the device can help doctors shorten the operation time, reduce the bleeding and blood transfusion amount in the operation and reduce the complication risk of the patient in the operation period; the device can reduce the exposure difficulty in laparoscopic liver resection, enhance the confidence of operators, improve the laparoscopic liver resection rate and bring minimally invasive surgery benefit to more liver surgery patients.
Further, in order to facilitate sewing and fixing of the elastic ring, under the condition that elasticity of the elastic ring is ensured, the needle ring is integrally formed during the molding of the elastic ring, and in the sewing, knotting and fixing process of the liver, the fixing position is selected in the needle ring, so that fixing uniformity of the elastic ring can be ensured, and at least one needle ring is reserved during actual use so as to facilitate clamping by a clamping device (such as a mosquito clamp).
Further, the elastic hanging ring comprises a plurality of semicircular elastic strips, wherein two semicircular elastic strips are used for being fixed on the surface of the liver, the other semicircular elastic strips are used for being lifted and hung, so that improvement is made on the stability of the liver fixation for a patient with larger liver and the improvement on the stability of the liver fixation, an annular shape is formed by any two elastic semicircular rings, knotting points are uniformly and respectively arranged on the annular surface when the patient is sewn and knotted, the lifting and hanging of the liver can be directly carried out by using the other semicircular elastic strips, short forceps can be used for guiding, and the rubber ring can be pulled out of the body to be hung on the liver without being placed into the mosquito-type forceps through a small incision made through skin.
Drawings
FIG. 1 is a schematic main structure of a first embodiment of the present utility model;
fig. 2 is a schematic view of an elastic suspension ring according to a second embodiment of the present utility model;
fig. 3 is a schematic view of an elastic suspension ring according to a third embodiment of the present utility model.
In the figure: 1. an elastic hanging ring; 2. a liver needle; 3. a silk thread; 101. an elastic ring; 102. a needle ring; 107. a semicircular elastic strip.
Detailed Description
The following description of the embodiments of the present utility model will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present utility model, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the utility model without making any inventive effort, are intended to be within the scope of the utility model.
The laparoscopic hepatectomy has been deeply favored by patients and surgeons by virtue of the advantages of small trauma, strong aesthetic property, quick postoperative recovery and the like, and along with the progress of technology and the development of medical instruments, hepatobiliary surgeons have developed exploratory work on laparoscopic hepatectomy of some complex parts, and how to implement the operation more safely and quickly is a common problem faced by doctors and nurses. The utility model aims to obtain more accurate evidence-based evidence at a higher level by designing a simple auxiliary device and prospectively observing the application effect, thereby contributing to the application of suspension technology and popularization of laparoscopic hepatectomy operation.
The utility model provides a technical scheme that: a laparoscopically assisted liver suspension device, as shown in fig. 1-3, is described in detail by way of example below.
Example 1
As shown in fig. 1, a laparoscopically assisted liver suspension device comprises:
the elastic hanging ring 1 is used for being fixed on the surface of the liver, and the elastic hanging ring 1 has elasticity; and one end of the silk thread 3 is fixed on the elastic hanging ring 1.
And the liver needle 2 is used for guiding the other end of the silk thread 3 to fix the elastic hanging ring 1 and the liver in a sewing way.
The shape of the elastic suspension ring 1 may be a circle or a regular polygon, and the present utility model is not limited herein. Preferably, the shape of the elastic hanging ring 1 is round, square, regular hexagon or regular octagon.
In this embodiment, the elastic hanging ring 1 may be a surgical glove band, and has a circular shape, good elasticity and bearing capacity, and can meet the strength of liver suspension. It should be noted that, the elastic suspension ring 1 may be made of other elastic materials capable of satisfying the liver suspension strength, which does not limit the protection scope of the present utility model.
In addition, the liver needle 2 is a bendable and straightable liver needle 2, in this embodiment, the liver needle 2 may be a 9# liver needle with a radian that is broken straight in advance, so that it is more beneficial to pass through a puncture outfit (such as a 12mm puncture outfit), and liver hemorrhage is not easy to be caused, and one end of the liver needle is fixed on the elastic hanging ring 1 in a binding manner.
In this embodiment, the thread 3 may be a surgical 10# suture, or may be another suture that meets the requirements.
The liver needle 2 of this embodiment may be fixed to the other end of the thread 3, and the fixation may be binding or the like.
In this embodiment, the wire 3 has redundancy at two ends of the binding position of the elastic suspension ring 1. Preferably, the two ends of the silk thread 3 bound behind the elastic hanging ring 1 are different in redundant length, and the liver needle 2 guides the silk thread 3 with the longer end to carry out the binding of the liver and the elastic hanging ring 1.
In the specific operation process, firstly, a 12mm puncture outfit is utilized to punch the abdominal cavity of a patient, the whole suspension device is placed into the liver part of the patient through the puncture outfit, then the proper part of the liver is selected to carry out sewing of the silk thread 3 through controlling the liver needle 2, the elastic hanging ring 1 is knotted and fixed on the surface of the liver, and then the elastic hanging ring 1 is pulled out of the body to be suspended by the mosquito clamp through making a small incision through skin, so that the focus is exposed, and the operation of a doctor is facilitated.
The auxiliary liver suspension device for the laparoscope has the advantages of simple structure and small volume, but can fully display the operation field, increase the tension of a liver splitting plane in operation, better expose the internal hepatic parenchyma duct, reduce the bleeding risk in operation and after operation, and reduce the incidence rate of postoperative complications. Meanwhile, the method has good usability, is convenient to operate, and has stronger innovation; the auxiliary suspension device can help doctors shorten the operation time, reduce the bleeding and blood transfusion amount in the operation and reduce the complication risk of the patient in the operation period; the auxiliary device can reduce the exposure difficulty in laparoscopic liver resection, so that a doctor with low annual resources can be proficiently used, the confidence of the doctor can be enhanced, the laparoscopic liver resection rate can be improved, and the minimally invasive surgery benefit can be brought to more liver surgery patients.
Example two
On the basis of fig. 1, the difference between the present embodiment and the first embodiment is that, as shown in fig. 2: based on the first embodiment, the elastic suspension ring 1 specifically includes an elastic ring 101, and an outer ring portion of the elastic ring 101 is provided with more than two needle rings 102.
In particular, the elastic ring 101 may be a rubber band ring.
The elastic ring 101 and the needle ring 102 may be integrally formed, so that the safety is better.
The stitch ring 102 may be disposed at the outer ring of the elastic ring 101 at equal intervals or at unequal intervals, and is used for sewing or/and binding the thread 3. Preferably, the needle ring 102 is a plurality of needle rings and is equidistantly arranged.
The sewing needle ring 102 is four in this embodiment and is equidistantly disposed.
In this embodiment, in order to facilitate the sewing and fixing of the elastic ring 1, under the condition of ensuring the elasticity of the elastic ring 101, the needle ring 102 is integrally formed during the molding of the elastic ring 101, and the fixing position is selected in the needle ring 102 during the sewing, knotting and fixing process of the liver, so that the fixing uniformity of the elastic ring 1 can be ensured, and at least one needle ring 102 is reserved for clamping by a clamping device (such as a mosquito clamp) during the actual use process.
Example III
On the basis of fig. 1, the difference between this embodiment and the first embodiment is that, as shown in fig. 3: based on the first embodiment, the elastic hanging ring 1 specifically comprises a plurality of semicircular elastic strips 107, wherein two semicircular elastic strips 107 are used for being fixed on the surface of the liver, and the other half of the semicircular elastic strips 107 are used for lifting and hanging.
The embodiment aims at the patients with large livers and improves the stability of liver fixation, any two elastic semicircular rings form a ring, knotting points are uniformly and respectively arranged on the ring-shaped surface when sewing and knotting, the other semicircular elastic strips 107 are used for directly lifting and hanging the livers, short forceps can be used for guiding, and the elastic rings 101 can be pulled out of the body to hang the livers without being placed into mosquito forceps through small incisions made through skin.
Compared with the prior art, the utility model has the following advantages:
through the application of the device, the operation field can be fully displayed, the tension of a liver splitting plane in operation is increased, the liver parenchyma inner duct is better exposed, the bleeding risk in operation and after operation is reduced, and the occurrence rate of postoperative complications is reduced. Meanwhile, the method has good usability, is convenient to operate, and has stronger innovation; the device can help doctors shorten the operation time, reduce the bleeding and blood transfusion amount in the operation and reduce the complication risk of the patient in the operation period; the device can reduce the exposure difficulty in laparoscopic liver resection, enhance the confidence of operators, improve the laparoscopic liver resection rate and bring minimally invasive surgery benefit to more liver surgery patients.
Further, in order to facilitate sewing and fixing of the elastic ring, under the condition that elasticity of the elastic ring is ensured, the needle ring is integrally formed during the molding of the elastic ring, and in the sewing, knotting and fixing process of the liver, the fixing position is selected in the needle ring, so that fixing uniformity of the elastic ring can be ensured, and at least one needle ring is reserved during actual use so as to facilitate clamping by a clamping device (such as a mosquito clamp).
Further, the elastic hanging ring comprises a plurality of semicircular elastic strips, wherein two semicircular elastic strips are used for being fixed on the surface of the liver, the other semicircular elastic strips are used for being lifted and hung, so that improvement is made on the stability of the liver fixation for a patient with larger liver and the improvement on the stability of the liver fixation, an annular shape is formed by any two elastic semicircular rings, knotting points are uniformly and respectively arranged on the annular surface when the patient is sewn and knotted, the lifting and hanging of the liver can be directly carried out by using the other semicircular elastic strips, short forceps can be used for guiding, and the rubber ring can be pulled out of the body to be hung on the liver without being placed into the mosquito-type forceps through a small incision made through skin.
Although embodiments of the present utility model have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made hereto without departing from the spirit and scope of the utility model as defined by the appended embodiments and equivalents thereof.
Claims (10)
1. A laparoscopically assisted liver suspension device, comprising:
the elastic hanging ring is used for being fixed on the surface of the liver and is elastic;
one end of the silk thread is fixed on the elastic hanging ring;
and the liver needle is used for guiding the other end of the silk thread to fix the elastic hanging ring and the liver in a sewing way.
2. The laparoscopic assisted liver suspension device according to claim 1, wherein the elastic suspension ring comprises an elastic ring, and an outer ring portion of the elastic ring is provided with more than two needle rings.
3. The laparoscopic assisted liver suspension device of claim 2, wherein said needle ring is a plurality and equidistantly disposed.
4. The laparoscopic assisted liver suspension device according to claim 2, wherein said elastic ring is a rubber band ring, said elastic ring being integrally formed with said needle ring.
5. The laparoscopic assisted liver suspension device of claim 1, wherein said elastic suspension ring comprises a plurality of semi-circular elastic strips, two of which are adapted to be secured to the liver surface and the other of which is adapted to be suspended by lifting.
6. The laparoscopic assisted liver suspension device according to claim 1, wherein the wires are bound at the ends of the elastic sling with different redundant lengths, and the liver needle is used for guiding the wire at the longer end to bind the liver and the elastic sling.
7. The laparoscopic assisted liver suspension device according to claim 1, wherein the shape of the elastic sling is circular or regular polygon.
8. The laparoscopic assisted liver suspension device of claim 1, wherein said elastic sling is a circular surgical glove band.
9. The laparoscopic assisted liver suspension device according to claim 1, wherein said liver needle is a bendable and straightenable liver needle.
10. The laparoscopic assisted liver suspension device according to claim 1, wherein said wire is a surgical suture.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202320680303.7U CN219661787U (en) | 2023-03-31 | 2023-03-31 | Liver suspension device is assisted to peritoneoscope |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202320680303.7U CN219661787U (en) | 2023-03-31 | 2023-03-31 | Liver suspension device is assisted to peritoneoscope |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN219661787U true CN219661787U (en) | 2023-09-12 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202320680303.7U Active CN219661787U (en) | 2023-03-31 | 2023-03-31 | Liver suspension device is assisted to peritoneoscope |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN219661787U (en) |
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2023
- 2023-03-31 CN CN202320680303.7U patent/CN219661787U/en active Active
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