Abstract Pikes scalpls摘要派克手术刀.ppt

Suture passer used for port closure suture carried through instrument passed through the wound for closure Hook 2 shapes: J L for peritoneal dissection of Calot’s removal of GB from liver bed Suction coagulator can be used as both suction monopolar cautery cautery can be used for drilling through distended GB, ovarian cysts Palpation probe can be used for retracting liver lobes Trocars pathway to the abdomen blunt sharp tips sizes : 3, 5, 10 mm Reducers used to reduce size of trocars from 10 to 5 mm used to remove gauzes from abdomen types : tube clip Telescope invented by British physicist Hopkins in 1952 rod lens system sizes : 0.8 to 14 mm diameter viewing : forward 0°, angled 30° 45° Ligaclip used to clip large vessels preloaded clips Endoshears used to cut, coagulate as monopolar very useful in hernia dissection Optical trocar has a clear shaft conical tip telescope can be inserted into the trocar pushed through abdominal layers under visual guidance used when expecting adhesions Suture passer used for port closure suture carried through instrument passed through the wound for closure Punction needle Modified Sugarbaker’s cardiomyotomy scissors used for cardiomyotomy for achalasia cardia Loop passer extracorporeal knot placed through this passer used for tying base of appendix Abdominal specula used for dilating the port site to extract GB extract small lesions, foreign bodies, gauze Uterine manipulator Liver retractor Free Powerpoint Templates Page * Free Powerpoint Templates Insufflator Insufflator The electronic CO2 insufflator is used to achieve the necessary work space by distending the abdominal wall and depressing the hollow organs Because its automatic, the insufflating pressure can be preset The insufflator activates delivers gas when intrabdominal pressure falls because of gas escape or leakage from the ports Can be continuously varied from 0-30mm Hg; gas flow volum