CIT multi-endoscope combined stone extraction techniques with gallbladder preserved

A technique for gallbladder and calculi, applied in two surgical fields, can solve the problems of inconvenient operation, difficult operation, long time, etc. to remove calculi, and achieve the effects of easy finding of the gallbladder, good cosmetic effect, and simple operation.

Inactive Publication Date: 2016-05-18
BEIJING ZHONGSHAN HOSPITAL CO LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0003] 1. Finding the gallbladder is more complicated and not easy to operate;
[0004] 2. The stone removal operation is inconvenient and takes a long time;
[0005] 3. High suture technical requirements;
[0006] 4. Large incision

Method used

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Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0072] Example 1: Laparoscopic-assisted choledochoscopy for gallbladder preservation

[0073] 1. The patient is placed in a supine position. After successful general anesthesia, a pneumoperitoneum needle is inserted through the subumbilical hole to construct pneumoperitoneum. The pneumoperitoneum pressure is 12-14mmHg, 10mmTrocar puncture, and laparoscopic exploration is performed to confirm that the gallbladder wall is smooth and free of adhesions. After no thickening, no obvious chronic inflammation and other abnormalities, under laparoscopic monitoring, a hole of 10 mm Trocar was inserted at the projection of the gallbladder bottom, and the bottom of the gallbladder was pulled out of the abdomen with laparoscopic grasping forceps through this hole.

[0074] If the preoperative ultrasound shows that the gallbladder is sediment-like stones or there are many stones of different sizes, in order to prevent the small stones in the gallbladder from falling into the bile duct during...

Embodiment 2

[0080] Example 2: Total laparoscopic gallbladder-preserving lithotripsy

[0081] 1. The patient's head is taken high and the foot is low. After successful general anesthesia, a 1.0-1.5cm incision is made at the bottom of the gallbladder with an electric hook under laparoscopy, and electrocoagulation is used to stop bleeding.

[0082] 2. To remove stones, all stones are removed by choledochoscopy. Insert a rubber tube through the 10mm Trocar hole near the projection of the gallbladder bottom surface, extract the bile with a syringe, then insert the choledochoscope, rinse with normal saline, and observe the condition of the gallbladder mucosa, the number, size and location of gallbladder stones (polyps).

[0083] For cholecystolithiasis, take out the stones one by one with a stone basket under choledochoscope or use rigid choledochoscope to pick up stones with biopsy forceps or grasping forceps to avoid crushing stones. Small stones or sediment-like stones can be flushed with sa...

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PUM

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Abstract

The invention discloses two CIT multi-endoscope combined stone extraction techniques with gallbladder preserved. According to one technique, stone extraction with gallbladder preserved is conducted by means of a peritoneoscope and a choledochoscope assisted by the peritoneoscope, a patient is in the supine position, the bottom of the gallbladder is pulled out of the abdomen with peritoneoscope gripping tongs, an incision which is 1.0-1.5 cm in size is cut with an electrocoagulation hook on the bottom of the gallbladder, a rubber hose is inserted in and gall is extracted with an injector, the choledochoscope is inserted in, stone is taken out, the choledochoscope is retracted, and then the incision on the bottom of the gallbladder is sutured. According to the other technique, stone extraction with gallbladder preserved is conducted in a total laparoscopic mode, a patient is in the dorsal elevated position, an incision which is 1.0-1.5 cm in size is cut with an electrocoagulation hook on the bottom of the gallbladder, electrocoagulation hemostasis is conducted, a rubber hose is inserted in through a Trocar hole 10 mm away from the body projection position on the bottom of the gallbladder, gall is extracted with an injector, a choledochoscope is inserted in, stone is taken out, the choledochoscope is retracted, and then the incision on the bottom of the gallbladder and the gallbladder are sutured. The two CIT multi-endoscope combined stone extraction techniques with gallbladder preserved have the advantages that the gallbladder can be found quite easily, the incision is small, and the beautifying effect is good; the first technique is easy to operate when used for abdominal external stone or polyp extraction, and the second technique is suitable for all situations with gallbladder preserved.

Description

technical field [0001] The invention relates to two surgical methods, in particular to two kinds of triple mirror combined gallbladder preservation lithotripsy. Background technique [0002] At present, the surgery for gallbladder stones (polyps) mainly has the following problems: [0003] 1. Finding the gallbladder is more complicated and not easy to operate; [0004] 2. The operation of taking stones is inconvenient and takes a long time; [0005] 3. High technical requirements for suture; [0006] 4. The incision is large. SUMMARY OF THE INVENTION [0007] In order to solve the deficiencies of the prior art, the purpose of the present invention is to provide two types of triple-scope combined gallbladder-preserving lithotripsy, which have the advantages of extremely easy finding of the gallbladder, small incision, and good cosmetic effect. [0008] In order to achieve above-mentioned goal, the present invention adopts following technical scheme: [0009] A triple-s...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B17/22A61B17/221A61B17/94A61M3/02A61M1/00
CPCA61B17/22A61B17/00234A61B17/221A61B2017/22079A61M1/0058A61M3/02A61M2210/1075
Inventor 陈浩张利军吴世玉李立廷罗正升常健叶盛白宇翔苗勇朱立春刘荣曹洪志李萌张卫武王兴涛陈和敏
Owner BEIJING ZHONGSHAN HOSPITAL CO LTD
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