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PPPD (Pylorus Preserving Pangreaticoduodenectomy)
유문보존 췌십이지장 절제술
1. set 및 부속
| Set | ･ GS Liver set ･ GS GB set |
･ Vascular clamp set ･ GS Thompson retractor set |
| Instrument | ･ Open Hem-o-lok applier | ･ Ligasure (small jaw type) |
| prn instrument | ･ Santisky clamp ･ mosquito (10) |
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| Package | ･ Universal drape | |
2. 준비 물품
| 준비 물품 | ･ 무영등 ･ Glove ･ SurgIcal pen (marker) ･ #20mess ･ #15mess ･ Bovie blunt tip + long tip ･ Bovie cleaner ･ 4x8 gauze (4↑) count ･ Deaver cover (2) ･ 10/30cc syringe (1/1) |
･ Feeding tubue #8 (1) ･ Surgi clip (S/M) ･ suction line (2) ･ 자석판 (Needle count) ･ Spoid (2) ･ 실모기용 boots (10X2) ･ Surgi loop (3) ･ Nylon tape (1) ･ JP Drain 100L (1↑) ･ Dressing |
| ･ Foley catheter 14Fr | ･ Uremeter | |
| Auto suture | ･ GIA 60-3.8 boday ･ GIA cartridge (2) |
prn) TA vascular V3 (white) |
| Suture | ･ 1/0 Vicryl or Polysorb (2) ･ 1/0 Vicryl CR (5↑) ･ 5/0 PDS (10↑) ･ 6/0 PDS (5↑) ･ 3/0 Black silk CR (2↑) ･ 3/0 Black silk (2) continuous ･ 1/0, 2/0, 3/0 Black silk (긴 실) ･ 4/0, 5/0, 6/0 Prolene |
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| ･ 1/0 PDS (1) ･ 2/0 Nylon (2) or Skin stapler ･ 3/0 Nylon (1) |
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| 약물 | ･ Surgicel 1901 (5x35cm) ･ Green plast 또는 Tissel 등 지혈제 준비 ･ Neoveil (L) |
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| Portal vein 자가 이식시 |
･ Micro set (Micro needle holdre, Micro forcep) ･ Vascular set (bulldog, vascular clamp, nerve hook) ･ Suture : 6/0 prolene (6↑) ･ 약물 : 1L normal saline (bottle), heparin 1cc |
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3. procedure
PPPD (Pylorus Preserving Pangreaticoduodenectomy) 유문보존 췌십이지장 절제술 수술과정
아래 링크의 크몽 전자책에서 자세히 확인 가능합니다.
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