长时间仪器操纵对气体泄漏通过 trocars 的影响
Daniel Robertson1, Matthijs van Duijn2, Alberto Arezzo3
1Department of Biomechanical Engineering, Faculty of Mechanical Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, The Netherlands. p.d.robertson@tudelft.nl.
Surgical endoscopy
|July 13, 2023
概括
长时间使用仪器并没有增加腹腔镜托卡的二氧化碳 (CO2) 泄漏. 然而,一些特洛卡车出现了损坏,这表明特洛卡车设计和制造可能存在可能导致气体泄漏的问题.
科学领域:
- 最少侵入性的手术
- 手术设备工程 手术设备工程
- 患者安全 患者安全
背景情况:
- 腹腔镜手术使用二氧化碳 (CO2) 吸入,这可能会入手术室.
- 车泄漏是医疗人员二氧化碳暴露的一个已知的因素.
- 在气体泄漏方面,托卡的长期性能尚未得到充分了解.
研究的目的:
- 为了研究长时间仪器操纵对通过外科手术的气体泄漏的影响.
- 在涉及长期使用的模拟临床条件下评估托罗卡的性能.
主要方法:
- 创建了一个实验模型来模拟在trocar (10-15毫米直径) 内的仪器操纵.
- 托洛卡车受到二氧化碳吸入 (15 mmHg) 和机械负荷,模拟腹壁力量.
- 在长时间的仪器操作之前,期间和之后测量了气体泄漏.
主要成果:
- 气体泄漏率有所变化 (0.0-5.58 L/min),但在长时间操纵后并没有显著增加.
- 由于操纵,两个托卡发生了明显的损伤.
- 在一些托卡车中发现了意外泄漏途径,可能与制造缺陷有关.
结论:
- 长时间的仪器操纵似乎没有提高火车的气体泄漏率.
- 气体泄漏可能是由于特洛卡特有的机制和设计缺陷,独立于操纵时间.
- 确保交换机完整性和解决制造问题对于防止意外气体泄漏至关重要.
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