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A laparoscopic and lower peritoneal technology, applied in the field of laparoscopic peritoneal dialysis catheterization, can solve the problems of peritoneal dialysis catheter drift, omentum wrapping, etc., achieves less trauma, simple operation, and reduces omental adhesion syndrome Effect
Inactive Publication Date: 2019-02-15
LIANYUNGANG FIRST PEOPLES HOSPITAL
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[0003] The purpose of the embodiments of the present invention is to provide a laparoscopic peritoneal dialysis catheterization method to solve the existing problems of omentum-wrapped peritoneal dialysis tube and peritoneal dialysis tube drift during peritoneal dialysis
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Embodiment 1
[0030] A laparoscopic peritoneal dialysis catheterization operation, comprising the following steps:
[0031] (1) The patient is supine, under general anesthesia, and after the drape is sterilized, a 1.5cm skin incision is made transversely below the navel of the human body to form an operation hole A for inserting a laparoscope and a Veress needle into the abdominal cavity;
[0032] (2) Pass the Veress needle through hole A obtained in step (1) into the abdominal cavity, and inject CO with a pressure of 12mmHg. 2 pneumoperitoneum;
[0033] (3) After the pneumoperitoneum is formed, pull out the pneumoperitoneum needle, insert a trocar with a diameter of 15 mm into hole A, pull out the inner core, and put it into the laparoscope;
[0034] (4) Make a 1.5cm skin incision at the upper edge of the pubic symphysis and at the left side of the midline to form hole B. Make hole C at the lower left side of the left lower abdomen 8cm away from hole B. The incision length of hole C is 0....
Embodiment 2
[0044] A laparoscopic peritoneal dialysis catheterization operation, comprising the following steps:
[0045] (1) The patient is supine, under general anesthesia, and after the drape is sterilized, a 1.5cm skin incision is made transversely below the navel of the human body to form an operation hole A for inserting a laparoscope and a Veress needle into the abdominal cavity;
[0046] (2) Pass the Veress needle through hole A obtained in step (1) into the abdominal cavity, and inject CO with a pressure of 12mmHg. 2 pneumoperitoneum;
[0047] (3) After the pneumoperitoneum is formed, pull out the pneumoperitoneum needle, insert a trocar with a diameter of 15 mm into hole A, pull out the inner core, and put it into the laparoscope;
[0048](4) A skin incision with a length of 1.5 cm was made at the upper edge of the pubic symphysis 13 cm above the midline on the left side to form hole B, and hole C was made at the lower left side of the left lower abdomen 6 cm away from hole B, ...
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Abstract
The invention relates to laparoscopic peritoneal dialysis catheterization. A hole A is formed in the abdomen of the human body, a Veress needle and a laparoscope are inserted, after pneumoperitoneum formation, a hole B and a hole C are formed, then the laparoscope is transferred into the hole B from the hole A, operating rods are inserted into the hole A and the hole C respectively, and the greater omentum is folded through the operating rods and fixed with locker clamps. The mesosigmoid and the side peritoneum are sutured one stitch to form a channel for the inner segment of a peritoneal dialysis catheter, the laparoscope is transferred into the hole A from the hole B, the peritoneal dialysis catheter is inserted from the hole B and penetrates through a parapsidal furrow channel in the left side of the colon sigmoideum, the tail end of the inner segment of the peritoneal dialysis catheter remains in the Douglas pouch on the bottom of the pelvic cavity, the deep Kraft segment of the peritoneal dialysis catheter is pulled out of the enterocoelia and arranged between the abdominis anterior sheath and the abdominis posterior sheath, the abdominis anterior sheath is sutured, the peritoneal dialysis catheter is fixed, the outer segment of the peritoneal dialysis catheter penetrates out of the hole C, and the holes A, B and C are sutured. The peritoneal dialysis catheter is insertedby using the method that greater omentum is folded at multiple points and fixed under the laparoscope, catheter drifting and enwrapping by the greater omentum are avoided, postoperative complicationsare reduced, and peritoneal dialysis can be smoothly conducted.
Description
technical field [0001] The invention relates to the technical field of peritoneal dialysis, in particular to a laparoscopic peritoneal dialysis catheterization. Background technique [0002] Peritoneal dialysis has become an important method of renal replacement therapy for end-stage renal disease due to its low cost and low technical requirements. Peritoneal dialysis has the advantages of better protection of residual renal function, good social compliance, and convenience for patients. The methods of peritoneal dialysis mainly include continuous ambulatory peritoneal dialysis (CAPD), intermittent peritoneal dialysis (IPD), continuous cycle peritoneal dialysis (CCPD) and automatic cycle peritoneal dialysis. Dialysis is also called automatic peritoneal dialysis (APD), especially APD is widely used in clinical practice, which can better encourage patients to return to society and reduce the burden on patients. Traditional peritoneal dialysis catheterization is a laparotomy, ...
Claims
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