METHOD OF PREPARATION patients to laparoscopic AND DEVICE FOR IMPLEMENTATION

摘要

1.method of training the patient to u043bu0430u043fu0430u0440u043eu0441u043au043eu043fu0438u0447u0435u0441u043au043eu043cu0443 intervention, including laying the patient back on the operating table, the fixation and the total u0430u043du0435u0441u0442u0435u0437 and, an abdomen support space between the internal organs and the abdominal wall through the capture tissue in area navel and u043eu0442u0442u00a0u0433u0438u0432u0430u043du0438u0435u043c and x up, the penetrative puncture in the abdominal cavity.introduction through a puncture in the auxiliary space abdomen fingers u0440u0435u0442u0440u0430u043au0442u043eu0440u0430, the establishment inside the operating space of the abdominal cavity u0432u0443u044eu0449u0435u0433u043e volume and shape by u0440u0430u0441u0442u00a0u0436u0435u043du0438u00a0 abdominal wall u0440u0435u0442u0440u0430u043au0442u043eu0440u0430 fingers inside the fixation u0440u0435u0442u0440u0430u043au0442u043eu0440u0430 in u0438u043du0441u0442u0440u0443u043cu0435u043du0442u043eu0434u0435u0440u0436u0430u0442u0435u043bu0435 u0434u043bu00a0 u0441u043eu0445u0440u0430u043du0435u043du0438u00a0 operating ju u0442u0440u0430u043du0441u0442u0432u0430, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 so that u0438u043du0441u0442u0440u0443u043cu0435u043du0442u043eu0434u0435u0440u0436u0430u0442u0435u043bu044c u0432u0432u043eu0434u00a0u0442 u0448u0430u0440u043eu0432u0443u044e bearingson the axis which pass u043fu0440u00a0u043cu043eu043bu0438u043du0435u0439u043du044bu0439 end finger u0440u0435u0442u0440u0430u043au0442u043eu0440u0430, reliance placed near the place that the abdominal wall with the outside, and the shape and volume of the u043eu043fu0435u0440u0430u0446 the ionic space formed by longitudinal and pivotal movement of the finger sustained and handling u0440u0435u0442u0440u0430u043au0442u043eu0440u0430 relatively to the center of spherical bearings.;2. method for u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 1, so that the movement of the finger in the u0440u0435u0442u0440u0430u043au0442u043eu0440u0430 u043fu0440u043eu0438u0437u0432u043eu0434u00a0u0442 located across the spine.;3. method for u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 1 or 2, so that the configuration of a u0440u0435u0442u0440u0430u043au0442u043eu0440u0430 choose u0443u0441u043bu043eu0432u0438u00a0 u043bu0430u043fu0430u0440u043eu0441u043au043eu043fu0438u0447u0435u0441u043au043eu0433u043e interference, and u043fu0440u00a0u043cu043eu043bu0438u043du0435u0439u043du044bu0439 end finger radgosc u043au0442u043eu0440u0430 u0432u044bu043fu043eu043bu043du00a0u044eu0442 composite materials.;4. method for u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 1 or 2, so that a finger u0440u0435u0442u0440u0430u043au0442u043eu0440u0430 u043fu0440u043eu0438u0437u0432u043eu0434u00a0u0442 recorded in longitudinal and the progressive movement.;5. way on any of the u043fu043f.1, 2 and 4, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0, longitudinal and steady and a lifting rotating u043fu0435u0440u0435u043cu0435u0449u0435u043du0438u00a0 u043fu0440u043eu0438u0437u0432u043eu0434u00a0u0442 alternately.;6. device for the ap.1 - 5, containing u0438u043du0441u0442u0440u0443u043cu0435u043du0442u043eu0434u0435u0440u0436u0430u0442u0435u043bu044c with u0442u0440u0435u043cu00a0 u0441u0442u0435u043fu0435u043du00a0u043cu0438 freedom, the striker and the retractor mechanism u043fu0435u0440u0435u043cu0435u0449u0435u043du0438u00a0 fingers in the abdominal cavity u0434u043bu00a0 u043fu043eu0434u043du00a0u0442u0438u00a0 abdominal u0441u0442u0435u043du043a inside the u043fu0440u00a0u043cu043eu043bu0438u043du0435u0439u043du044bu0439 end finger u043au0438u043du0435u043cu0430u0442u0438u0447u0435u0441u043au0438 u0441u0432u00a0u0437u0430u043d u043fu0435u0440u0435u043cu0435u0449u0435u043du0438u00a0 mechanism and u0438u043du0442u0440u0430u0430u0431u0434u043eu043cu0438u043du0430u043bu044cu043du044bu0439 end has the shape of u043eu0431u0442u0435u043au0430u0435u043cu043eu0433u043e body u043eu0442u043bu0438u0447u0430u044eu0449u0435 u0435u0441u00a0, u0438u043du0441u0442u0440u0443u043cu0435u043du0442u043eu0434u0435u0440u0436u0430u0442u0435u043bu044c a spherical buildingon the axis of which is located u0432u044bu0445u043eu0434u00a0u0449u0438u0439 their abdomen u043fu0440u00a0u043cu043eu043bu0438u043du0435u0439u043du044bu0439 end finger u0440u0435u0442u0440u0430u043au0442u043eu0440u0430, support is adjustable in height and in the direction of the u043fu043eu0437u0432u043eu043du043eu0447u043d iku and finger u0440u0435u0442u0440u0430u043au0442u043eu0440u0430 has longitudinal u043fu0435u0440u0435u043cu0435u0449u0435u043du0438u00a0 and rotate relatively to the center pillar in a plane situated across the spine.;7. device for u043eu0442u043bu0438u0447u0430u044eu0449u0435u0435u0441u00a0 p.6, however, that the mechanism is in the form of a pair of u043fu0435u0440u0435u043cu0435u0449u0435u043du0438u00a0 screw - nut, the screw pair is connected with the narrator: flywheel, a nut with u0442u043eu043bu043au0430u0442u0435u043bu0435u043c finger retractor as well.;8. device for u043fu043f.6 or 7, u043eu0442u043bu0438u0447u0430u044eu0449u0435u0435u0441u00a0, u043fu0440u00a0u043cu043eu043bu0438u043du0435u0439u043du044bu0439 end finger u0440u0435u0442u0440u0430u043au0442u043eu0440u0430 is equipped with at least u0434u0432u0443u043cu00a0 u0443u0434u043bu0438u043du00a0u044eu0449u0438u043cu0438 u0441u0442u0435u0440u0436u043du00a0u043cu0438, u0441u0432u00a0u0437u0430u043du043du044bu043cu0438 with each other and with the end of the u0440u0435u0442u0440u0430u043au0442u043eu0440u0430 u043fu0440u00a0u043cu043eu043bu0438u043du0435u0439u043du044bu043c by detachable couplings.