METHOD OF SURGICAL TREATMENT OF INTESTINAL OBSTRUCTIONS IN NARROW AND LARGE INTESTINE AND DEVICE FOR ITS IMPLEMENTATION

摘要

This invention relates to medicine, more specifically, to the surgical treatment of intestinal obstructions using the minimum invasive (endoscopic) method. The invention provides the possibility of the surgical treatment of intestinal obstructions along the entire length of the intestine by means of stenting. The technical result achieved by the first and second subjects of the invention is providing the total surgical treatment of intestinal obstructions in the narrow and large intestine by installing a stent at an intestine obstruction location in a manner allowing further moving the stent during its positioning or removal and avoiding damage to the intestine as a result of the surgical manipulations. Said technical objective is achieved with the first subject of the invention, i.e. the method, as follows. The method of surgical treatment of intestinal obstructions in narrow and large intestine comprises the movement of the endoscope across the entire length of the narrow and large intestine and delivering the dilatation balloon and stent system to the obstructed section of the intestine. After the dilatation balloon and stent system is delivered to the obstructed section of the intestine, the dilatation balloon is installed at the intestine obstruction location, and the normal intestine section is restored by inflating the dilatation balloon. Then the volume of the dilatation balloon is reduced, the balloon is retracted to the endoscope, and the stent is installed at the intestine obstruction location. The movement of the dilatation balloon and stent is controlled using a hydraulic piston mechanism. Said technical objective is achieved with the second subject of the invention, i.e. the device, as follows. The endoscope for the total surgical treatment of intestinal obstructions in narrow and large intestine comprises a hydraulic endoscope movement drive and an endoscope case installed in the outer tube. Said endoscope case comprises channels for the supply of gas and liquid into the intestine cavity, an optical channel, a light channel and two manipulation channels. The stent is installed at the distal end of one of said manipulation channels at the central portion of the manipulation shaft which is rigidly mounted on the stent extension piston and has stopping balloons at both ends. The distal end of the other manipulation channel comprises the dilatation balloon mounted on a hollowed manipulation shaft which in turn is rigidly mounted on the dilatation balloon extension piston. The proximal ends of said manipulation channels comprise hydraulic piston mechanisms acting on said dilatation balloon extension piston and on said stent extension piston. Said dilatation balloon and said stent stopping balloons are connected via said gas supply channels to said hydraulic piston mechanisms installed at the proximal ends of said manipulation channels.