Endo riam (scalpel)
Cov riam tsis siv ntau zaus hauv kev phais endoscopic vim muaj teeb meem cuam tshuam nrog kev nyab xeeb ntawm cov hniav, uas tsis tuaj yeem raug kaw lossis deactivated. Txawm li cas los xij nws muaj qee qhov tseem ceeb siv.
Nyob rau hauv peb xyaum, ib tug pov tseg hniav (Beaver) yog mounted rau ib tug hlau pas nrig, uas muaj ib tug qhov (socket) nyob rau hauv lub distal kawg uas nws yuav tsum tau screwed.
Kev siv riam phom ntau tshaj plaws yog qhib rau cov kab mob siab lossis cov kab mob hauv lub cev thaum tshawb nrhiav pob zeb. Ib qho me me, huv si, linear stab qhov txhab yog tsim nyob rau hauv lub anterior phab ntsa. Kev saib xyuas zoo yog xav tau thaum lub sij hawm txiav thiab tshem tawm cov riam. Txawm li cas los xij, ib rab riam ntse ntse yog qhov zoo dua thiab muaj kev nyab xeeb dua li qhov endoknife rau choledochotomy.

