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T pipe with needle

A lumen and short-arm technology, applied in the field of T tubes, can solve the problems of biliary wall damage, uneven manual cutting, and increase the pain of patients, so as to reduce bile leakage and bile duct stenosis, reduce the total incision length, and alleviate the pain of patients. Effect

Inactive Publication Date: 2019-02-05
尹新民
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

This method has the following disadvantages: 1. The artificial cutting is uneven during the operation, and the short arm is easy to break
2. The short arm is easy to fit with the inner wall of the bile duct, and the drainage is not smooth
3. The total incision length of the common bile duct is much smaller than the length of the short arm, and it is difficult for the short arm of the T tube to enter the common bile duct, which brings inconvenience to the operation and increases the pain of the patient
4. The long arm is led out from the opening, and the incision needs to be sutured. The process is cumbersome, which increases the operation time, and the electric knife may cause damage to the biliary tract wall, and the thermoelectric effect is likely to cause extrahepatic biliary stricture.

Method used

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Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0027] Such as figure 1 with figure 2 As shown, a T-tube with a needle includes a long arm 1 and a short arm 2, one end of the long arm 1 is vertically connected to the middle part of the short arm 2, forming a T-shape in which the lumen communicates; the short arm 2 and the long arm 1 The opposite side has a through cut extending in the axial direction of the short arm, the through cut communicates with the inside of the short arm, and the side of the cut is jagged 5; in the middle of the short arm 2 there is a folding opening 4 extending in the direction of the long arm ; A lead-out wire 7 is connected to the tip 6 of the long arm 1 , and a surgical needle 8 is connected to the other end of the lead-out wire 7 . The tip 6 of the long arm 1 is provided with a through hole, and the through hole is connected with the lead wire 7 . The folding opening 4 is triangular in shape. The depth of the folding opening 4 is no more than 1 / 2 of the pipe diameter of the short arm 2 . ...

Embodiment 2

[0029] Embodiment 2 The application of the needled T-tube of the present invention, the "Yin's T-tube" described in Example 2 is the T-tube of the present invention

[0030] 1. Materials and methods

[0031] 1.1 General Information

[0032] The clinical data of 162 patients who underwent laparoscopic cholangioenterostomy and laparoscopic pancreatoduodenectomy in Hunan Provincial People's Hospital from January 2015 to August 2017 were collected. Yin's T-tube placement method was included in the observation group, with 122 patients, and the conventional T-tube placement method was included in the control group, with 40 patients. The patient's age, gender, intraoperative placement time, blood loss during placement, incidence of biliary tract bleeding, and incidence of postoperative bile leakage were collected.

[0033] 1.2 Inclusion and exclusion criteria

[0034] Inclusion criteria: (1) Laparoscopic cholangioenterostomy and T-tube placement are required after inspection; (2) ...

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Abstract

The invention discloses a T pipe with a needle. The T pipe comprises a long arm (1) and a short arm (2), and one end of the long arm (1) is vertically connected with the middle of the short arm (2) toconstitute a T shape with a through pipe cavity; a through cut which extends in the axial direction of the short arm is formed in the side, opposite to the long arm (1), of the short arm (2) and communicated with the interior of the short arm, and the side face of the cut is in a sawtooth shape (5); a folding opening (4) which extends in the direction of the long arm is formed in the middle of the short arm (2); the end face of the other end of the long arm (1) is a slant face, and a tip end (6) is formed; an out-drawing line (7) is connected to the tip end (6) of the long arm (1), and the surgical needle (8) is connected to the other end of the out-drawing line (7). By means of the T pipe, the problems that the short arm is easily broken and drainage is unsmooth are solved; meanwhile, the T pipe changes the mode of drawing out the long arm, the surgical time is shortened, the surgical efficiency is improved, the total cut length of the common bile duct is reduced, and the pain of a patient is alleviated.

Description

technical field [0001] The invention belongs to auxiliary materials for operation, and in particular relates to a T tube. Background technique [0002] Laparoscopic T-tube drainage has a history of more than 20 years. The main functions of the T-tube are support, drainage, decompression of the biliary tract, observation of biliary bleeding, and removal of postoperative residual stones. At present, the T tube includes a long arm and a short arm, and the long arm is vertically connected with the middle part of the short arm to form a T-shape in which lumens communicate with each other. [0003] T-tube placement is necessary for most biliary tract exploration and biliary-enterostomy, but the safety of laparoscopic T-tube placement has been affected by many factors. Especially when placing the T tube in laparoscopic biliary anastomosis, use an electric knife to incise the anterior wall of the common bile duct, cut an incision on the short arm, fold the short arm and place the s...

Claims

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Application Information

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IPC IPC(8): A61M25/14A61M25/06
CPCA61M25/0023A61M25/065A61M2210/1075A61M2210/005
Inventor 尹新民刘毅李云峰成伟徐晓平刘胜吴舒
Owner 尹新民
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