磁珠肝门阻断小发明 腔镜肝脏切除好助手

2021-12-18 “西安交大第一附属医院”公众号 “西安交大第一附属医院”公众号

近日,西安交大一附院肝胆外科五病区一名患者在腹腔镜肝部分切除术中,仵正主任和沙焕臣副主任利用外科梦工场自主设计研发的Y-Z型磁力肝门阻断带巧妙实现第一肝门血流腔内阻断。

肝血流阻断技术是肝脏外科手术中减少肝脏出血的有效方法。“带-管阻断法”阻断效果确切、操作简单,因而成为临床中最常用的第一肝门血流阻断方法,然而该方法用于腹腔镜下肝切除手术时,需要占用已有的腹壁戳孔或重新建立腹壁刺孔,如何在不增加腹壁创伤的情况下实现简单、有效的腔内阻断具有很强的现实意义。

近日,西安交大一附院肝胆外科五病区一名患者在腹腔镜肝部分切除术中,仵正主任和沙焕臣副主任利用外科梦工场自主设计研发的Y-Z型磁力肝门阻断带巧妙实现第一肝门血流腔内阻断。该阻断带根据磁体异极相吸的特点,将一系列磁体间断规律排列并嵌入到医用橡胶管内,通过调整磁体相吸位置,即可对肝门血流进行有效阻断。仵正主任通过操作体验,结果显示该磁力阻断带在腹腔镜下具有操作简单、阻断效果确切、灵活性高等诸多优点。

术中使用效果

据悉,Y-Z型磁力肝门阻断带的设计理念最初由外科梦工场硕士研究生张苗苗提出。在临床实习过程中,张苗苗同学发现目前腹腔镜下第一肝门血流腔内阻断操作灵活性较差,遂根据磁外科相关技术原理提出了利用磁力进行肝门血流阻断的想法,该想法提出后得到合作导师严小鹏副研究员和外科梦工场吕毅教授的肯定和大力支持,通过不断优化设计和改良性能后终于成功制作出Y-Z型磁力肝门阻断带,并在临床试用中取得了满意的预期效果。该磁力肝门阻断带已申报国家专利。

设计原理

使用方法示意图

近年来,西安交大一附院肝胆外科和外科梦工场在磁外科领域持续创新,不断涌现出一批磁外科创新技术及磁性医疗器械和设备,并迅速在临床试用和开展,取得了良好的社会效应。这也是外科梦工场多年来以临床问题为导向、创新人才培养体系、激发学生创新思维的一个缩影。

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1710299, encodeId=dbda1e1029935, content=<a href='/topic/show?id=7ac59e67604' target=_blank style='color:#2F92EE;'>#阻断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97676, encryptionId=7ac59e67604, topicName=阻断)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b5ca31824852, createdName=41514497@qq.com, createdTime=Sat Dec 25 09:10:56 CST 2021, time=2021-12-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2046226, encodeId=3f45204622641, content=<a href='/topic/show?id=04094698439' target=_blank style='color:#2F92EE;'>#小发明#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46984, encryptionId=04094698439, topicName=小发明)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Fri Oct 21 16:10:56 CST 2022, time=2022-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1181434, encodeId=13eb118143451, content=感谢分享,多久可以出成品,大家一起用用, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ffe15705834, createdName=ms4000001809038213, createdTime=Thu Jan 06 19:15:02 CST 2022, time=2022-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1181069, encodeId=cdb5118106994, content=想法不错👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c135726045, createdName=柳叶一刀, createdTime=Wed Jan 05 22:09:48 CST 2022, time=2022-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082474, encodeId=a57610824e4ae, content=这个想法挺好的,交叉学科确实有前景…, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eqECZcqB1HjQrfNz5yRtP20rXibvlLsaiaBQNrtcQpiaaMQZkEhanOc5pP0rpsGdA5icg1aRBJiaVdqREA/132, createdBy=f0625292139, createdName=Mysterio, createdTime=Tue Dec 21 09:42:13 CST 2021, time=2021-12-21, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1710299, encodeId=dbda1e1029935, content=<a href='/topic/show?id=7ac59e67604' target=_blank style='color:#2F92EE;'>#阻断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97676, encryptionId=7ac59e67604, topicName=阻断)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b5ca31824852, createdName=41514497@qq.com, createdTime=Sat Dec 25 09:10:56 CST 2021, time=2021-12-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2046226, encodeId=3f45204622641, content=<a href='/topic/show?id=04094698439' target=_blank style='color:#2F92EE;'>#小发明#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46984, encryptionId=04094698439, topicName=小发明)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Fri Oct 21 16:10:56 CST 2022, time=2022-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1181434, encodeId=13eb118143451, content=感谢分享,多久可以出成品,大家一起用用, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ffe15705834, createdName=ms4000001809038213, createdTime=Thu Jan 06 19:15:02 CST 2022, time=2022-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1181069, encodeId=cdb5118106994, content=想法不错👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c135726045, createdName=柳叶一刀, createdTime=Wed Jan 05 22:09:48 CST 2022, time=2022-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082474, encodeId=a57610824e4ae, content=这个想法挺好的,交叉学科确实有前景…, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eqECZcqB1HjQrfNz5yRtP20rXibvlLsaiaBQNrtcQpiaaMQZkEhanOc5pP0rpsGdA5icg1aRBJiaVdqREA/132, createdBy=f0625292139, createdName=Mysterio, createdTime=Tue Dec 21 09:42:13 CST 2021, time=2021-12-21, status=1, ipAttribution=)]
    2022-01-06 ms4000001809038213

    感谢分享,多久可以出成品,大家一起用用

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1710299, encodeId=dbda1e1029935, content=<a href='/topic/show?id=7ac59e67604' target=_blank style='color:#2F92EE;'>#阻断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97676, encryptionId=7ac59e67604, topicName=阻断)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b5ca31824852, createdName=41514497@qq.com, createdTime=Sat Dec 25 09:10:56 CST 2021, time=2021-12-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2046226, encodeId=3f45204622641, content=<a href='/topic/show?id=04094698439' target=_blank style='color:#2F92EE;'>#小发明#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46984, encryptionId=04094698439, topicName=小发明)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Fri Oct 21 16:10:56 CST 2022, time=2022-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1181434, encodeId=13eb118143451, content=感谢分享,多久可以出成品,大家一起用用, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ffe15705834, createdName=ms4000001809038213, createdTime=Thu Jan 06 19:15:02 CST 2022, time=2022-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1181069, encodeId=cdb5118106994, content=想法不错👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c135726045, createdName=柳叶一刀, createdTime=Wed Jan 05 22:09:48 CST 2022, time=2022-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082474, encodeId=a57610824e4ae, content=这个想法挺好的,交叉学科确实有前景…, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eqECZcqB1HjQrfNz5yRtP20rXibvlLsaiaBQNrtcQpiaaMQZkEhanOc5pP0rpsGdA5icg1aRBJiaVdqREA/132, createdBy=f0625292139, createdName=Mysterio, createdTime=Tue Dec 21 09:42:13 CST 2021, time=2021-12-21, status=1, ipAttribution=)]
    2022-01-05 柳叶一刀

    想法不错👍

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1710299, encodeId=dbda1e1029935, content=<a href='/topic/show?id=7ac59e67604' target=_blank style='color:#2F92EE;'>#阻断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97676, encryptionId=7ac59e67604, topicName=阻断)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b5ca31824852, createdName=41514497@qq.com, createdTime=Sat Dec 25 09:10:56 CST 2021, time=2021-12-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2046226, encodeId=3f45204622641, content=<a href='/topic/show?id=04094698439' target=_blank style='color:#2F92EE;'>#小发明#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46984, encryptionId=04094698439, topicName=小发明)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Fri Oct 21 16:10:56 CST 2022, time=2022-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1181434, encodeId=13eb118143451, content=感谢分享,多久可以出成品,大家一起用用, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ffe15705834, createdName=ms4000001809038213, createdTime=Thu Jan 06 19:15:02 CST 2022, time=2022-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1181069, encodeId=cdb5118106994, content=想法不错👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c135726045, createdName=柳叶一刀, createdTime=Wed Jan 05 22:09:48 CST 2022, time=2022-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082474, encodeId=a57610824e4ae, content=这个想法挺好的,交叉学科确实有前景…, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eqECZcqB1HjQrfNz5yRtP20rXibvlLsaiaBQNrtcQpiaaMQZkEhanOc5pP0rpsGdA5icg1aRBJiaVdqREA/132, createdBy=f0625292139, createdName=Mysterio, createdTime=Tue Dec 21 09:42:13 CST 2021, time=2021-12-21, status=1, ipAttribution=)]
    2021-12-21 Mysterio

    这个想法挺好的,交叉学科确实有前景…

    0