| 摘要: |
| 目的 探讨改良经脐单孔三通道腹腔镜精索静脉高位结扎术的可行性。方法 2011 年3 月至2013 年3 月对25例精索静脉曲张患者采用改良经脐单孔三通道腹腔镜精索静脉高位结扎术（A 组），30 例精索静脉曲张患者采用传统三孔法腹腔镜下精索内静脉高位结扎术（B 组），比较并分析两种术式的手术时间、术后住院时间、术后近期并发症、精液常规变化、术后美容效果等。结果 单侧及双侧手术时间A 组分别为（35.0±8.6）min 及（45.0±11.5）min, B组分别为（18.0±6.5）min 及（25.0±8.2）min,A 组长于B 组，差异有统计学意义（P＜0.05）。术后住院时间A 组为（2.1±0.3）d，B 组为（2.5±0.5）d，差异无统计学意义（P ＞0.05）。两组术后近期并发症发生率及精液改善率均无统计学差异（均P ＞0.05）。A 组手术美容效果优于B 组。结论 改良经脐单孔三通道腹腔镜精索静脉高位结扎术不需专用单孔多通道操作平台，手术操作简化，安全有效，术后腹壁不留瘢痕，值得临床推广。 |
| 关键词: 精索静脉曲张 腹腔镜 脐/外科学 微创 |
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| Modified transumbilical single port three-channel laparoscopic varicocelectomy in treatment of varicocele |
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LI Peng, YOU Shengjie, ZHOU Xiaoqing, Zhou Dong, XIANG Rongbo, YU Liangliang
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Lishui People’s Hospital
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| Abstract: |
| Objective To evaluate the feasibility of modified transumbilical single port laparoscopic varicocelectomy in treatment of varicocele. Methods The clinical data of 55 patients with varicocele who underwent laparoscopic varicocelectomy fromMarch 2011 to March 2013 were analyzed retrospectively. Twenty five cases received modified transumbilical single port laparoscopic varicocelectomy (group A) , and 30 cases received conventional three-port laparoscopic procedure (group B). The operation time, postoperative hospitalization duration, postoperative complications, semen parameters improvement and cosmetic result were documented in two groups. Results The operation time for unilateral varicocele and bilateral varicocele in group A were longer than those in group B（35.0±8.6min vs 18.0±6.5 min and 45.0±11.5min vs 25.0±8.2min, respectively, both P＜ 0.05). There were no significant differences in postoperative hospitalization duration, postoperative complications, semen parameters improvement between two groups (P＞0.05). The modified single port laparoscopic surgery had better cosmetic result than conventional one. Conclusion Modified transumbilical single port laparoscopic varicocelectomy does not need special single port multichannel instrument, it is relatively simple and has no scar on the abdominal wall. |
| Key words: Varicocele Laparoscopy Umbilicus/surgery Minimally invasive |
