CN113598850B - A device for exposure of the upper abdomen in laparoscopic surgery - Google Patents

Abstract

The application provides a device for exposing the upper abdomen of laparoscopic surgery, which comprises a fixed bracket (8) and a lifting part, and is characterized in that: the lifting part comprises a horizontal section (1), one end of the horizontal section (1) is connected with a longitudinal section (2), a bending part (3) is arranged on the horizontal section (1), a first arc-shaped part (4) is arranged at one end of the bending part (3), a second arc-shaped part (5) is arranged at the other end of the bending part (3), springs (6) are respectively arranged on the first arc-shaped part and the second arc-shaped part (4, 5), and a control rope (7) is clamped on each spring (6). The application has the advantages of convenient use, simple operation, adjustable liver posture and convenient adjustment, and other parts except the contact of the control rope and the liver are not contacted with the liver in the operation process, thereby effectively avoiding the problems of damage, postoperative infection, transaminase rise and the like caused by the direct contact of the traditional liver retractor and the liver.

Description

A device for exposure of the upper abdomen in laparoscopic surgery

Technical field:

The invention relates to a surgical instrument, in particular to a device for exposing the upper abdomen in laparoscopic surgery.

Background technique:

Since the world's first laparoscopic surgery was completed in 1987, with the continuous improvement of laparoscopic equipment and instruments, and the continuous improvement of laparoscopic technology, laparoscopic surgery has developed vigorously and its indications have gradually expanded. Operations on all organs in the abdominal cavity can now be performed laparoscopically. When performing laparoscopic surgery on upper abdominal organs, such as the stomach and pancreas, the left liver of normal people often affects the exposure of the surgical field, in order to block the left liver.

In the prior art, the liver retractor is used to directly push and pick the liver or use other instruments to clamp the gauze piece to push and pick the liver. This kind of operation is unstable and often leads to liver damage, infection, postoperative transaminase elevation and other problems, and will cause Instruments in the abdominal cavity are criss-crossed, interfering with each other and affecting the operation, and the liver posture cannot be adjusted again as needed during the operation.

Invention content:

In order to overcome the deficiencies in the prior art, the present invention provides a device for exposing the upper abdomen in laparoscopic surgery.

The application provides the following technical solutions:

A device for exposing the upper abdomen in laparoscopic surgery, which includes a fixed bracket and a lifting part, and is characterized in that: the lifting part includes a horizontal section, and a longitudinal section is connected to one end of the horizontal section. A curved portion is provided, a first arc-shaped portion is provided at one end of the curved portion, a second arc-shaped portion is provided at the other end of the curved portion, a section of spring is respectively arranged on the first and second arc-shaped sections, and each section of spring At least one control rope is clamped.

On the basis of above-mentioned technical scheme, also can have following further technical scheme:

The medical sterile rope of the control rope is tied with two knots distributed at intervals at one end of the control rope, and the rope body between the two knots forms a clamping fit with the spring, and the rope body leaves a gap on the spring. Margin to move.

The fixed bracket includes a card slot that is connected and matched with the operating bed, and a vertical bar is provided on the card slot, and a cross bar is connected to the vertical bar through a cross-shaped connector, and a horizontal bar is connected to the vertical section to connect and cooperate with the vertical bar. universal fixture.

The integral structure of the horizontal section and the longitudinal section is made of medical stainless steel.

The spring wires of the spring are attached to each other, so that the spring as a whole forms a tension spring structure and is made of medical stainless steel.

Advantages of the invention:

The invention is easy to use and easy to operate, and the posture of the liver is adjustable and convenient to adjust. During the operation, other parts except the control rope contact with the liver do not contact the liver, effectively avoiding the damage to the liver caused by the direct contact of the existing liver hooks with the liver. Injury, postoperative infection, elevated transaminases and other postoperative problems.

Description of drawings:

Fig. 1 is the structural representation of lifting part among the present invention;

Fig. 2 is the schematic diagram when lifting part is used in the present invention;

Fig. 3 is a schematic diagram when the lifting part is connected to the fixed bracket.

Detailed ways:

As shown in Figures 1-3, a device for exposure of the upper abdomen in laparoscopic surgery, it includes a fixed bracket 8 and a lifting part that is mated and connected, and the lifting part includes a strip-shaped horizontal section 1, and the The horizontal section 1 includes a first arc portion 4 , a curved portion 3 corresponding to the round ligament of the liver extends from one end of the first arc portion 4 , and a second arc portion 5 extends from one end of the curved portion 3 . The first arc portion 4 and the second arc portion 5 are respectively sleeved with springs 6 corresponding to the coaxial distribution, and the spring wires of the springs 6 are attached to each other, so that the spring 6 as a whole forms a tension spring structure.

A strip-shaped longitudinal section 2 is extended upwards from the end of the second arc portion 5, and the longitudinal section 2 includes a first longitudinal arc portion a, and a transversely distributed horizontal portion extends from one end of the first longitudinal arc portion b, the end of the horizontal portion b is slightly tilted upwards. The horizontal section 1 and the longitudinal section 2 are of integral structure and are made of medical stainless steel like the spring 6 .

A plurality of medical sterile ropes are set as the control rope 7, and two knots 7a distributed at intervals are tied at one end of the control rope 7, and the rope body is longer (greater than the diameter of the spring 6 helix) between the two knots 7a. Clamped between the spring wires of the spring 6, one end of the control rope 7 can be clamped by the spring wire, and the control rope 7 can be adjusted by pulling the knot 7a with the surgical instrument.

The fixed bracket 8 includes a card slot 8a, on one side of the card slot 8a, a locking bolt 8f that forms a locking fit with the operating bed is pierced, and on the other side of the card slot 8a, a vertically distributed vertical rod 8b is fixedly connected , the vertical bar 8b is connected with a horizontally distributed crossbar 8d through a cross-shaped connecting piece 8c, and a universal clamp 8e is connected with one end of the crossbar 8d. The universal clamp 8e includes a connection part 18a inserted into the cross bar 8d, and a jack corresponding to the cross bar 8d is provided on the connection part 18a, and a socket corresponding to the cross bar 8d is also provided on the connection part 18a. The locking pin 18b is connected to the ball head of the connecting part 18a with a swing arm 18c, and the swing arm 18c is provided with a mounting hole corresponding to the horizontal part b, and the swing arm 18c is provided with a locking fit with the horizontal part b offset.

Instructions:

During the operation, the operator installs the fixing bracket in place, and then under the laparoscope, one end of the first arc-shaped part 4 extends into the patient's abdominal cavity through an incision protector, and then gradually extends so that the entire horizontal section 1 enters the patient's abdominal cavity, and then inserts the The lifting part is fixed on the fixed bracket, and then the bending part 3 is aligned with the round ligament of the liver by adjusting the swing arm 18c so as to adjust the horizontal section 1 to a proper position.

Thread the control rope 7 on the surgical needle, and then sew the control rope 7 to the abdominal fascia 9 below the liver 10. The rope body between the two knots 7a at one end of the rope 7 is clipped between the spring wires corresponding to different positions on the spring 6, so that the liver can be "lying flat" vertically in the abdominal cavity by tightening the control rope 7. From the beginning, the surgical field of view is exposed. During the operation, the tightening degree of the control rope 7 can be adjusted by pulling the knot 7a, and then the posture of the liver can be adjusted. The corresponding control rope 7 can also be removed at any time. Adjust the posture of the liver to correspond to the progress of the operation.

Claims (3)

1. A device for laparoscopic surgical epigastric exposure comprising a fixed support (8) and a lifting element, characterized in that: the lifting part comprises a horizontal section (1), one end of the horizontal section (1) is connected with a longitudinal section (2), a bending part (3) which is distributed corresponding to hepatic ligaments is arranged on the horizontal section (1), a first arc-shaped part (4) is arranged at one end of the bending part (3), a second arc-shaped part (5) is arranged at the other end of the bending part (3), a section of spring (6) is respectively arranged on the first arc-shaped part and the second arc-shaped part (4, 5), and at least one control rope (7) is clamped on each section of spring (6); the fixed support (8) comprises a clamping groove (8 a) which is connected and matched with the operating table, a vertical rod (8 b) is arranged on the clamping groove (8 a), a cross rod (8 d) is connected to the vertical rod (8 b) through a cross connecting piece (8 c), and a universal clamp (8 e) which is connected and matched with the longitudinal section (2) is connected to the cross rod (8 d); the horizontal section (1) and the longitudinal section (2) are integrated and made of medical stainless steel.

2. A device for laparoscopic surgical epigastric exposure according to claim 1, wherein: the control rope (7) is a medical sterile rope, two knots (7 a) which are distributed at intervals are tied at one end part of the control rope (7), a rope body between the two knots (7 a) and the spring (6) form clamping fit, and a movable allowance is reserved on the spring (6) of the rope body.

3. A device for laparoscopic surgical epigastric exposure according to claim 1, wherein: the spring wires of the springs (6) are mutually attached, so that the springs (6) are integrally formed into a tension spring structure and are made of medical stainless steel.