| 摘要 |
<p>URETHROVESICAL ANASTOMOSIS SUTURING METHOD USING ARTICULATING LAPAROSCOPIC DEVICE A suturing method for anastomosis of live bodies and training bodies joins a duct having perimeter positions defined according to clock hour positions to an opening in a bladder using an articulating laparoscopic device (10) having a gripper (32, 33) at a distal end with open and closed positions for loading a suture needle (27) io in either a forehand or backhand direction. The gripper has a yaw motion including left and right positions and a roll motion either clockwise or counterclockwise. The open and closed positions, yaw motion, and roll motion are under manual control of a user through manual controls at a proximal end of the articulating laparoscopic device. The perimeter positions include a 12-o'clock position proximal to the user and a 15 6-o'clock position distal of the user. The method includes driving a suture at about the 6-o'clock position through the bladder and then the duct wherein the suture needle is loaded forehand, the yaw is in a left position, and the roll is clockwise. Orientations and directions are provided for other suturing positions.</p> |
