CN108986621A - A kind of per anum NOTES endoscope-assistant surgery simulation trainer - Google Patents
A kind of per anum NOTES endoscope-assistant surgery simulation trainer Download PDFInfo
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- CN108986621A CN108986621A CN201811191837.3A CN201811191837A CN108986621A CN 108986621 A CN108986621 A CN 108986621A CN 201811191837 A CN201811191837 A CN 201811191837A CN 108986621 A CN108986621 A CN 108986621A
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Abstract
The invention discloses a kind of per anum NOTES surgical simulation training aids, the training aids is by control box, camera shooting and video system, task training module group and accessory kit: anal intestine single-hole laparoscopic puncture outfit, surgery circular retractor and tying device and is composed, body surface channel can be simulated, mis instruments insertion channel enters simulation cavity and operation position, sutured for simulation operative region, separate, ligature etc. the training of surgical technics.The present invention provides a kind of per anum NOTES endoscope-assistant surgery simulation trainers, fill up per anum NOTES simulator blank, a variety of dedicated training modules are designed according to per anum NOTES surgical characteristic, it is applicable in clinical hospitals, medicine skills training mechanism and medical courses in general academy and carries out the training of per anum NOTES surgical skills and practice, while having the advantages that cost is relatively low, being easy to promote.
Description
Technical field
The present invention relates to teaching Medical Devices, more particularly to a kind of per anum NOTES endoscope-assistant surgery simulation instruction
Practice device.
Background technique
Through natural cavity endoscopic surgery (naturalorifice transluminal endoscopic surgery,
It NOTES) is an emerging Minimally Invasive Surgical Technology.NOTES refers to without skin surface notch, passes through human body natural hole using scope
Road, such as stomach, vagina, bladder, colon, rectum are performed the operation into body cavity.Compared with traditional abdominal and laparoscope,
NOTES has without visible surgical scars, reduces intra-abdominal adhesions, the advantages such as operation wound is small, postoperative pain is few, recovery is fast.
Especially per anum Total mesorectal (taTME) solves traditional operation of low rectal carcinoma, from top to bottom operates, is encountering
Whens male prostate hypertrophy, contracted pelvis, obesity etc., due to the curved presence of sacrum tail, distal end rectum appears difficult, be easy to cause
Remote incisxal edge, ring week incisxal edge tumer positive and neurotrosis, taTME operation are taken operation from the bottom to top free, can more directly be shown
Reveal rectum distal end and precisely excision.The contrary operation but taTME performs the operation, is new anatomical path, need to pay attention to new anatomy mark
Will, to improve the safety of operation and shorten learning curve.Training for a new technique, optimal learning process are first
Theory gives lessons and then is autopsied, but the more difficult grasp of the more conventional endoscope-assistant surgery of technology, and can be used for hysteroscope both at home and abroad at present
The Fresh Frozen corpse of operation is limited, expensive, cause the teaching of low seniority doctor and medico be difficult to actual human body into
The preclinical practice for exercising taTME operation is restricted.
Therefore, how to provide a kind of per anum NOTES endoscope-assistant surgery simulation trainer is those skilled in the art's urgent need to resolve
The problem of.
Summary of the invention
In view of this, filling up per anum NOTES mould the present invention provides a kind of per anum NOTES endoscope-assistant surgery simulation trainer
Quasi- device blank designs a variety of dedicated training modules according to per anum NOTES surgical characteristic, is applicable in clinical hospitals, medicine skills training
Mechanism and medical courses in general academy carry out the training of per anum NOTES surgical skills and practice, while having that cost is relatively low, is easy to promote
Advantage.
To achieve the goals above, the invention provides the following technical scheme:
A kind of per anum NOTES endoscope-assistant surgery simulation trainer, comprising: control box, camera shooting and video device, fundamental operation training
Module group, taTME training module and support device;The fundamental operation training module group, the taTME training module and described
Support device is built in the control box;
Wherein, control box is made of bottom plate, case lid, module hold-down support;The case lid is fastened on the bottom plate;It is described
Module hold-down support is fixedly connected with the bottom plate;Operation port is offered on the side wall of the case lid;
The fundamental operation training module group or the taTME training module are socketed with the operation port respectively;
The support device includes: anal intestine single-hole laparoscopic puncture outfit, surgery circular retractor, ties device;It is described
Anal intestine single-hole laparoscopic puncture outfit is fixedly connected by the operation port with the control box;The surgery circular retractor
Device auxiliary surgical procedure is tied with described;
The rodlike LED camera of the camera shooting and video device sequentially pass through the anal intestine single-hole laparoscopic puncture outfit,
The operation port enters the fundamental operation training module group or the taTME training module, monitors surgical procedure.
Through the above technical solution, technical effect of the invention: it is empty that this simulation trainer fills up per anum NOTES simulator
It is white, design a variety of dedicated training modules according to per anum NOTES surgical characteristic, be applicable in clinical hospitals, medicine skills training mechanism and
Medical courses in general academy carries out the training of per anum NOTES surgical skills and practice, while having the advantages that cost is relatively low, being easy to promote.
Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the camera shooting and video device includes
Included camera lighting system, can by the rodlike LED camera in puncture outfit channel, pass through video converter, display and control
Device;The camera lighting system is mounted on the rodlike LED camera, then successively with the video converter, the display
Device and the controller are electrically connected.
Through the above technical solution, technical effect of the invention: rodlike LED camera passes through anal intestine single-hole laparoscopic hand
The instrument channel of art puncture outfit, into simulation rectum;And self illumination function, surgical procedure is observed convenient for real by display
The case where.
Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the fundamental operation training module
Group includes but is not limited to: closure training mission module, lantern ring training mission module, suture/shearing training Wang business module;It is described to close
Close the mould that training mission module, the lantern ring training mission module, the suture/shearing training Wang business module are fixed on control box
It is connected on block hold-down support with the handle hole.
Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the closure training mission module
For macromolecule hose;The macromolecule hose is socketed in the operation port.
Through the above technical solution, technical effect of the invention: macromolecule hose is recommended to use silica gel hose, and silica gel is soft
Pipe die intends human rectum's size, length and requires length 12cm not less than per anum NOTES art formula, and one end is socketed in operation metastomium mould
Quasi- rectum environment, cooperate attachment anal intestine single-hole laparoscopic puncture outfit, surgery circular retractor and tie device be closed it is straight
Intestines and placement anal intestine single-hole laparoscopic puncture outfit, inflation training, wherein hose is disposable.
Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the lantern ring training mission module
Including shell, crotch and pellosil;The shell is the plastic barrel of two halves hinge split;It is provided on the plastic barrel inner wall more
A mounting hole, the mounting hole are equipped with crotch;The cylinder tail portion of the plastic barrel is closed using the pellosil.
Through the above technical solution, technical effect of the invention: shell is not less than for simulation human rectum's size, length
Per anum NOTES art formula requires the plastic barrel of length 12cm, and using pellosil closure simulation rectum environment, barrel is equipped with more for cylinder tail portion
Mounting hole is arranged, crotch can be installed in inner wall different location respectively, crotch can adjust different angle and size, cooperate attachment anal intestine list
Hole laparoscopic surgery puncture outfit carries out lantern ring, knot training.Plastic shell using the split of two halves hinge design, can open so as to
It is installed in crotch.
Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the suture/shearing training Wang
Module of being engaged in includes shell, nylon hook side, paster and pellosil;The shell is the plastic barrel of two halves hinge split;The plastics
The nylon hook side is provided on cylinder inner wall;The paster is pasted on the nylon hook side;It adopts the cylinder tail portion of the plastic barrel
It is closed with the pellosil.
Through the above technical solution, technical effect of the invention: shell is not less than for simulation human rectum's size, length
Per anum NOTES art formula requires the plastic barrel of length 12cm, and cylinder tail portion is using pellosil closure simulation rectum environment.Paster is front
Be decorated with different graphic for example O shape, L-type, Z-type non-woven fabrics, the different two sides of velcro are pasted with paster bottom surface on the inside of barrel respectively, are pushed away
Inner wall nylon hook side, paster bottom surface stickup hair side are recommended, what paster can be pasted in inner wall different location respectively, cooperate attachment anal intestine list
Hole laparoscopic surgery puncture outfit shear/suture training.Plastic shell using the split of two halves hinge design, can open so as to
In installation paster, paster is disposable.
Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the shell is that simulation human body is straight
Intestines diameter dimension, length require the plastic barrel of length 12cm not less than per anum NOTES art formula.
Through the above technical solution, technical effect of the invention: simulation rectum obtains rectum environment, makes simulator training
Device is bonded with structoure of the human body, reaches true training goal.
Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, taTME training module includes interior
Layer silica gel hose, intermediate silica gel hose, outer layer silica gel hose, simulation male pelvic plexus, analog neuron vascular bundles, sacrum bone model and
Simulate urinary system;The taTME training module is successively the internal layer silica gel hose, the intermediate silica gel hose from inside to outside
With outer layer silica gel hose;Simulation male pelvic plexus is provided between the outer layer silica gel hose and the intermediate silica gel hose;Institute
State analog neuron vascular bundles and the top simulated urinary system and be mounted on the outer surface of the outer layer silica gel hose;The sacrum
Bone model depends on the lower part of outer layer silica gel hose outer surface;The 3-4 of the intermediate silica gel hose and the sacrum bone model
The embedding transparent silica gel thin slice obliquely of joint corresponding position;The internal layer silica gel hose, the intermediate silica gel hose and outer layer silicon
The port of glue hose is socketed in the operation port.
Through the above technical solution, technical effect of the invention: taTME training module is by three kinds of different colours, density
Soft silicone tube item wrap up being bonded layer by layer, pipe length is not less than the requirement of taTME art formula.Internal layer is using simulation human rectum
The high density silica gel hose of size, middle layer use the low-density foamed off-centre operation silica gel of simulation rectum peripheral adipose tissue size
Hose, outer layer are using high density foaming opening silica gel hose simulated muscle tissue phantom.In the increased anatomy mark in main body corresponding position
Will: 1 millimeter of silicone tube of embedding two diameters is distinguished in side wall both sides outer layer and middle layer bonding plane and simulates male pelvic plexus;Preceding
Two diameters, 1 millimeter of silicone tube analog neuron vascular bundles (NVB) is pasted in side, and front marks urinary system using signal or model
System.Middle layer lower part and the embedding thin slice of transparent silica gel obliquely simulation rectum rumpbone fascia (RS) of the joint rumpbone 3-4 corresponding position.
Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the song of the transparent silica gel thin slice
Degree installs the curved curvature of sacrum tail model;Human Physiology form is simulated away from rumpbone end 5.3 ± 1.3cm of distance, angle 98
±17°。
Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the anal intestine single-hole laparoscopic hand
Art puncture outfit includes: proctectasia channel, operating platform and vent line;The proctectasia channel is socketed in and the operation
The outside of the operation port of case;The vent line passes through the operating platform, and is connected to the proctectasia channel;The behaviour
Instrument channel is offered as platform.
Through the above technical solution, technical effect of the invention: the positioning ring of operating platform and proctectasia channel
Outer ring is more suitable for the foundation of surgical access with the chimeric positioning of ring fastening type.
Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the surgery circular retractor packet
It includes and retracts ring and drawing hook;It is arranged on the traction ring jagged;The drawing hook tail portion is provided with silica gel line, the silica gel line
Cooperate with the notch.
Through the above technical solution, technical effect of the invention: it is easy to operate, hook-is pulled Gu placing and retracting ring-merging
Determine drag hook, the exposure of visual area can be realized.Can be according to operation needs, unrestricted choice is used to pull hook quantity, and drawing hook is put
The position set, until reaching the optimal visual field.
It can be seen via above technical scheme that compared with prior art, the present disclosure provides a kind of per anum NOTES chambers
Videoendoscopic surgery simulation trainer fills up per anum NOTES simulator blank, designs a variety of dedicated instructions according to per anum NOTES surgical characteristic
Practice module, be applicable in clinical hospitals, medicine skills training mechanism and medical courses in general academy carry out the training of per anum NOTES surgical skills and
Practice, while having the advantages that cost is relatively low, being easy to promote.In use, step 1: cooperation attachment surgery circular retractor, seam
It pricks device and carries out closure rectum operation (purse string suture art);Step 2: placement anal intestine single-hole laparoscopic puncture outfit and inflation are built
Vertical surgical environments;Step 3: carrying out art formula simulated operation using passive surgical clamp and operating scissors, reaches (joint rumpbone 3-4), keeps away
Corresponding anatomic marker (male pelvic plexus, neurovascular bundle (NVB) and urinary system) completion rectum is opened to be partially stripped;4th
Step: release pneumoperitoneum takes out anal intestine single-hole laparoscopic puncture outfit, completes training.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below
There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is only this
The embodiment of invention for those of ordinary skill in the art without creative efforts, can also basis
The attached drawing of offer obtains other attached drawings.
Fig. 1 attached drawing is taTME training module installation diagram of the invention;
Fig. 2 attached drawing is camera shooting and video schematic device of the invention;
Fig. 3 attached drawing is anal intestine single-hole laparoscopic puncture outfit schematic diagram of the invention;
Fig. 4 attached drawing is surgery circular retractor schematic diagram of the invention;
Fig. 5 attached drawing ties device schematic diagram for of the invention;
Fig. 6 attached drawing is closure training mission module perspective view of the invention;
Fig. 7 attached drawing is lantern ring training mission module diagram of the invention;
Fig. 8 attached drawing is the opening state figure of lantern ring training mission module of the invention;
Fig. 9 attached drawing is suture of the invention/shearing training mission module diagram;
Figure 10 attached drawing is suture of the invention/shearing training mission module opening state figure;
Figure 11 attached drawing is taTME training module schematic diagram of the invention;
Figure 12 attached drawing is taTME training module cross-sectional view of the invention.
In figure: 1- control box, 11- bottom plate, 12- case lid, 13- module hold-down support, 14 operation ports, 2- camera shooting and video dress
It sets, 31- closure training mission module, 32- lantern ring training mission module, 321- shell, 322- crotch, 323- pellosil, 33- seam
Conjunction/shearing training Wang business module, 331- nylon hook side, 332- paster, 4-taTME training module, 41- internal layer silica gel hose, 42-
Intermediate silica gel hose, 43- outer layer silica gel hose, 44- simulation male pelvic plexus, 45- analog neuron vascular bundles, 46- sacrum bone model,
47- simulate urinary system, 48- transparent silica gel thin slice, 51- anal intestine single-hole laparoscopic puncture outfit, 511- proctectasia channel,
512- operating platform, 513- vent line, 52- surgery circular retractor, 521- retract ring, 522- pulls hook, 53 tie device.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention 1-12, technical solution in the embodiment of the present invention carry out clear
Chu is fully described by, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.
Based on the embodiments of the present invention, obtained by those of ordinary skill in the art without making creative efforts all
Other embodiments shall fall within the protection scope of the present invention.
The embodiment of the invention discloses a kind of per anum NOTES endoscope-assistant surgery simulation trainers, fill up per anum NOTES simulator
Blank designs a variety of dedicated training modules according to per anum NOTES surgical characteristic, and various training modules can be carried out with control box
Connection is applicable in clinical hospitals, medicine skills training mechanism and medical courses in general academy and carries out per anum for different training missions
The training of NOTES surgical skills and practice, while having the advantages that cost is relatively low, being easy to promote.
A kind of per anum NOTES endoscope-assistant surgery simulation trainer, comprising: control box 1, camera shooting and video device 2, fundamental operation instruction
Practice module group, taTME training module 4 and support device;Fundamental operation training module group, taTME training module 4 and support device
It is built in control box 1;
Wherein, control box 1 is made of bottom plate 11, case lid 12, module hold-down support 13;Case lid 12 is fastened on bottom plate 11;
Module hold-down support 13 is fixedly connected with bottom plate 11;Operation port 14 is offered on the side wall of case lid 12;
Fundamental operation training module group or taTME training module 4 are socketed with operation port 14 respectively;
Support device includes: anal intestine single-hole laparoscopic puncture outfit 51, surgery circular retractor 52, ties device 53;Anus
Intestines single-hole laparoscopic puncture outfit 51 is fixedly connected by operation port 14 with control box 1;It surgery circular retractor 52 and ties
Device 53 assists surgical procedure;
The rodlike LED camera of camera shooting and video device 2 sequentially passes through anal intestine single-hole laparoscopic puncture outfit 52, operation port
14 enter the fundamental operation training module group or taTME training module 4, monitor surgical procedure.
In order to further optimize the above technical scheme, fundamental operation training module group includes but is not limited to: closure training is appointed
Business module 31, lantern ring training mission module 32, suture/shearing training Wang business module 33;It is closed training mission module 31, lantern ring instruction
Practice task module 32, suture/shearing training Wang business module 33 is fixed on the module hold-down support 13 of control box 1 and handle hole phase
Even.
In order to further optimize the above technical scheme, as shown in Fig. 2, camera shooting and video device 2 includes included camera shooting illumination system
System, can pass through rodlike LED camera 21, video converter, display and the controller in puncture outfit channel;Camera lighting system peace
It is electrically connected on the rodlike LED camera, then successively with video converter, display and controller.
In order to further optimize the above technical scheme, as shown in fig. 6, closure training mission module 31 is macromolecule hose;
Macromolecule hose is socketed in operation port 14.
In order to further optimize the above technical scheme, as shown in Figure 7,8, lantern ring training mission module 32 include shell 321,
Crotch 322 and pellosil 323;Shell 321 is the plastic barrel of two halves hinge split;Multiple installations are provided on plastic barrel inner wall
Hole, mounting hole are equipped with crotch 322;The cylinder tail portion of plastic barrel is closed using pellosil 323.
In order to further optimize the above technical scheme, as shown in Figures 9 and 10, suture/shearing training mission module 33 includes outer
Shell 321, nylon hook side 331, paster 332 and pellosil 323;Shell 321 is the plastic barrel of two halves hinge split;Plastic barrel inner wall
On be provided with nylon hook side 331;Paster 332 is pasted on nylon hook side 331;The cylinder tail portion of plastic barrel is closed using pellosil 323
It closes.
In order to further optimize the above technical scheme, shell 321 is simulation human rectum's diameter dimension, length not less than warp
The plastic barrel of anus NOTES art formula requirement length 12cm.
In order to further optimize the above technical scheme, as shown in figure 11, taTME training module 4 includes internal layer silica gel hose
41, intermediate silica gel hose 42, outer layer silica gel hose 43, simulation male pelvic plexus 44, analog neuron vascular bundles 45, sacrum bone model 46
With simulation urinary system 47;TaTME training module 4 is successively internal layer silica gel hose 41,42 and of intermediate silica gel hose from inside to outside
Outer layer silica gel hose 43;Simulation male pelvic plexus 44 is provided between outer layer silica gel hose 43 and intermediate silica gel hose 42;Simulation
Neurovascular bundle 45 and simulation urinary system 47 are mounted on the top of the outer surface of outer layer silica gel hose 43;Sacrum bone model 46 depends on
In the lower part of 43 outer surface of outer layer silica gel hose;The joint the 3-4 corresponding position of intermediate silica gel hose 42 and sacrum bone model 46 is embedding
Transparent silica gel thin slice 48 obliquely;The port socket of internal layer silica gel hose 41, intermediate silica gel hose 42 and outer layer silica gel hose 43
In operation port 14.
In order to further optimize the above technical scheme, the curvature of transparent silica gel thin slice 48 installs the curved song of sacrum tail model
Degree;Human Physiology form is simulated away from rumpbone end 5.3 ± 1.3cm of distance, 98 ± 17 ° of angle.
In order to further optimize the above technical scheme, as shown in figure 3, anal intestine single-hole laparoscopic puncture outfit 51 includes:
Proctectasia channel 511, operating platform 512 and vent line 513;Proctectasia channel 511 is socketed in the operation with control box 1
The outside of mouth 14;Vent line 513 passes through operating platform 512, and is connected to proctectasia channel 511;Operating platform 512 opens up
There is instrument channel.
In order to further optimize the above technical scheme, as shown in figure 4, surgery circular retractor 52 includes retracting 521 He of ring
Pull hook 522;It is arranged on traction ring 521 jagged;Drawing 522 tail portion of hook is provided with silica gel line, and silica gel line and notch cooperate.
Each embodiment in this specification is described in a progressive manner, the highlights of each of the examples are with other
The difference of embodiment, the same or similar parts in each embodiment may refer to each other.For device disclosed in embodiment
For, since it is corresponded to the methods disclosed in the examples, so being described relatively simple, related place is said referring to method part
It is bright.
The foregoing description of the disclosed embodiments enables those skilled in the art to implement or use the present invention.
Various modifications to these embodiments will be readily apparent to those skilled in the art, as defined herein
General Principle can be realized in other embodiments without departing from the spirit or scope of the present invention.Therefore, of the invention
It is not intended to be limited to the embodiments shown herein, and is to fit to and the principles and novel features disclosed herein phase one
The widest scope of cause.
Claims (8)
1. a kind of per anum NOTES endoscope-assistant surgery simulation trainer characterized by comprising control box, camera shooting and video device, base
Plinth operation training module group, taTME training module and support device;The fundamental operation training module group, taTME training
Module and the support device are built in the control box;
Wherein, control box is made of bottom plate, case lid, module hold-down support;The case lid is fastened on the bottom plate;The module
Hold-down support is fixedly connected with the bottom plate;Operation port is offered on the side wall of the case lid;
The fundamental operation training module group or the taTME training module are socketed with the operation port respectively;
The support device includes: anal intestine single-hole laparoscopic puncture outfit, surgery circular retractor, ties device;The anal intestine
Single-hole laparoscopic puncture outfit is fixedly connected by the operation port with the control box;The surgery circular retractor and institute
It states and ties device auxiliary surgical procedure;
The rodlike LED camera of the camera shooting and video device sequentially passes through the anal intestine single-hole laparoscopic puncture outfit, described
Operation port enters the fundamental operation training module group or the taTME training module, monitors surgical procedure.
2. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 1, which is characterized in that the basis
Operation training module group includes but is not limited to: closure training mission module, lantern ring training mission module, suture/shearing training Wang
Business module;The closure training mission module, the lantern ring training mission module, the suture/shearing training Wang business module are solid
Due to being connected on the module hold-down support of control box with the handle hole.
3. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 2, which is characterized in that the closure
Training mission module is macromolecule hose;The macromolecule hose is socketed in the operation port.
4. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 2, which is characterized in that the lantern ring
Training mission module includes shell, crotch and pellosil;The shell is the plastic barrel of two halves hinge split;In the plastic barrel
Multiple mounting holes are provided on wall, the mounting hole is equipped with crotch;The cylinder tail portion of the plastic barrel is closed using the pellosil
It closes.
5. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 2, which is characterized in that the suture/
Shearing training Wang business module includes shell, nylon hook side, paster and pellosil;The shell is the plastics of two halves hinge split
Cylinder;The nylon hook side is provided on the plastic barrel inner wall;The paster is pasted on the nylon hook side;The plastic barrel
Cylinder tail portion using the pellosil be closed.
6. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 4 or 5, which is characterized in that described outer
Shell is to simulate the plastic barrel of human rectum's diameter dimension, length not less than per anum NOTES art formula requirement length 12cm.
7. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 1, which is characterized in that taTME training
Module include internal layer silica gel hose, intermediate silica gel hose, outer layer silica gel hose, simulation male pelvic plexus, analog neuron vascular bundles,
Sacrum bone model and simulation urinary system;During the taTME training module is successively the internal layer silica gel hose from inside to outside, is described
Between silica gel hose and outer layer silica gel hose;Simulation pelvic cavity is provided between the outer layer silica gel hose and the intermediate silica gel hose
Neuropile;The analog neuron vascular bundles and the simulation urinary system are mounted on the upper of the outer surface of the outer layer silica gel hose
Portion;The sacrum bone model depends on the lower part of outer layer silica gel hose outer surface;The intermediate silica gel hose and the rumpbone
The embedding transparent silica gel thin slice obliquely of the joint 3-4 corresponding position of model;The internal layer silica gel hose, the intermediate silica gel hose
It is socketed in the operation port with the port of outer layer silica gel hose.
8. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 7, which is characterized in that described transparent
The curvature of silica gel thin slice installs the curved curvature of sacrum tail model;Simulate Human Physiology form away from rumpbone end distance 5.3 ±
1.3cm, 98 ± 17 ° of angle.
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