[Health Popularization] Obviously a minimally invasive surgery.

When talking with patients before speaking with patients, I often ask such questions: "The doctor, I was operated last time, only semi -hemp, this time I was just a minimally invasive surgery, why did I give it to? I am natal? "

With the maturity of laparoscopic technology, many surgery has entered the "minimally invasive era". Minimally invasive surgery, as the name suggests, is a small trauma surgery. Compared with traditional surgery, the superiority of minimally invasive surgery is self -evident, such as: small trauma, mild pain, fast recovery after surgery, and short hospitalization time. This is why many patients currently choose minimally invasive surgery. So since minimally invasive surgery is "small trauma, light pain", and doing whole body anesthesia, is it "the rocket flies -small questions"? And listen to me slowly. Before answering this question, let's take a look at the approximate process of minimally invasive surgery.

For laparoscopic surgery, there are several steps in popular:

1. Ghone the stomach (that is, the establishment of an artificial qi -belly): First of all, the abdomen needle is passed into the patient's belly, and the inside is continuously pumped into the carbon dioxide gas with a certain pressure. Provide adequate surgery and operation space;

2. Put your stomach: The doctor plays a few small holes on the stomach according to the surgery. First, the laparoscopic lens (with a camera on it) into the stomach, and then the mirror will reflect the situation in the stomach on the outside. On the screen; then, the doctor stretched the surgical equipment from these holes into the stomach, looked at the large screen outside, and used surgical equipment to perform surgery in the stomach.

3. Passing and turning the hole: After the operation, the surgeon takes out all the equipment from the hole, stopsing it into the stomach, suture the wound, and the surgery is over.

The operation process of thoracoscopic surgery and laparoscopic surgery is roughly the same. The difference is that thoracoscopic surgery does not need to cheat in the thoracic cavity, but it is often necessary to ensure that the patient's lungs are stunned to ensure that the surgeon has sufficient space for surgical operation Essence This operation that allows one side of the lungs is called "single lung ventilation".

Let's take a look at what impact of minimally invasive surgery on patients.

1. Surgery itself

Different from traditional surgical operations only limited to the "one acre and three -point" near the cutting mouth and its nearby, laparoscopic surgery "involved" the entire abdominal cavity. The scope of the need for anesthesia is also more extensive; in addition, the establishment of an artificial abdomen requires the patient's abdominal wall muscles or even the diaphragm muscle completely relaxed, local anesthesia or internal anesthesia (commonly known as "semi -hemp") cannot meet this requirement; The stomach is strong, and for a sober patient, it is like "torture." One side of the lungs is often required during thoracoscopy, that is, a single lung ventilation, and patients may have sullen air and hypoxia symptoms; during the operation, they will pull or compress the trachea, esophagus, large blood vessels, etc. Even arrhythmia, sober patients are unbearable.

2. Special position

Hacoscopic surgery is often performed under special positions, such as high heads, low heads, high heads, and side positions. These special positions can cause bad physiological changes in patients, such as severe fluctuations in blood pressure, dyspnea, causing hypoxia, brain congestion, etc. During surgery, sober patients may not be able to complete the surgery due to physical discomfort.

3. Surgical environment

In addition to the discomfort brought by various operations and positions to the body, the strange environment of the operating room, the sound of the alarm of the monitor and the collision of the surgical equipment will make the patient nervous and anxious, and even cannot cooperate with the doctor to complete the surgery.

Now, you can probably understand why "minimally invasive surgery" needs to be performed under "general anesthesia". That's because the whole body anesthesia can ensure the good muscle relaxation of the patient to meet the needs of the surgery. It can ensure that the patient will not be hypoxic through the tracheal intubation, anesthesia auxiliary respiratory, etc., but also allows patients to spend surgery safely during sleep.

Some people may ask: "Which of traditional surgery and laparoscopic surgery is better? Which one is better or Quan Ma?" Anesthesiologists believe that everyone's condition is unique and cannot be generalized. However, you can rest assured that before surgery, the surgeon and anesthesiologist will conduct a detailed assessment of patients and formulate personalized surgical anesthesia programs suitable for patients. After all, the duties of anesthesia doctors are to make you safe, comfortable, and painlessly spend your surgical journey.

(This article has been reviewed by Zhang Yongqiang, chief physician of the Department of Anesthesia and Meticidal Medicine of the First Affiliated Hospital of Xinxiang Medical College)

Author: Liu Jingjing Song Pengzheng Editor: Wang Pengfei

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