胆囊切除术的手术步骤是怎样的 吴庆邦 灌南县人民医院 скачать в хорошем качестве

胆囊切除术的手术步骤是怎样的 吴庆邦 灌南县人民医院

胆囊切除术的手术步骤是怎样的 吴庆邦 灌南县人民医院 腹腔镜胆嚢切除术手术步骤如下：1、体位多采用仰卧位，头侧抬高10°-20°，身体右侧抬高15%因引力的作用，使患者的内脏向左下方移位。另外还有取膀胱结石位者，现已少用。2、手术步驟简介(1)麻醉。(2)制造气腹：在脐上部lcm处将气腹针刺人腹部，确定气腹针头位于游离腹腔后，启动气腹机，向腹腔内注入CO2，形成人工、气腹。(3)建立手术通道：根据手术需要做2-4个5-10mm的手术切口，置人鞘管。连接光学系统：将腹腔镜与冷光源、电视摄像、录像系统连接，并经鞘管插人腹腔，通过光学转换系统，腹腔内影像反映在电视屏幕上。(5)进行手术：根据光学转换系统反映在屏幕上的图像，经鞘管插人特殊的手术器械(比普通的手术器械长)进行手术。 What is the procedure of cholecystectomy The procedure of laparoscopic choledochectomy is as follows: 1. Supine position is usually used, Head side raised 10 ° - 20 °, The right side of the body is raised by 15% due to gravity, Move the patient's internal organs to the lower left. In addition, the patients with bladder stones were also taken, It is now used less. 2. Brief introduction of operation procedure (1) anesthesia. (2) Making pneumoperitoneum: needle the pneumoperitoneum into the abdomen at the LCM of the upper part of the umbilicus, Confirm that the pneumoperitoneum needle is located behind the free abdominal cavity, Start the pneumoperitoneum machine, CO2 was injected into the abdominal cavity, Form artificial, pneumoperitoneum. (3) Establish the operation channel: make 2-4 5-10 mm surgical incisions according to the operation needs, Place a human sheath. Connect the optical system: connect the laparoscope with cold light source, TV camera and video recording system, And it was inserted into the abdominal cavity through the sheath, Through the optical conversion system, Intraperitoneal images are reflected on the television screen. (5) Operation: according to the image reflected on the screen by the optical conversion system, Special surgical instruments (longer than common ones) are inserted through the sheath for operation.