双孔三通道腹腔镜下精索内静脉高位结扎术12例报告

目的 探讨双孔三通道腹腔镜下精索内静脉高位结扎术的可行性及疗效. 方法双孔三通道腹腔镜下精索内静脉高位结扎术治疗精索静脉曲张患者12例.平均年龄28(19～37)岁.左侧7例,双侧5例.全麻,行脐孔内侧下缘弧形切口和脐与耻骨联合连线中点5 mm切口,采用4号丝线双重结扎精索血管柬. 结果12例手术均成功.单侧病变手术时间平均23(18～26)min,双侧病变手术时间平均33(30～34)min.术后平均住院2.7(2～3)d.随访3～6个月,未见明显手术瘢痕、睾丸萎缩及精索静脉曲张复发等并发症. 结论双孔三通道腹腔镜下精索内静脉高位结扎术治疗精索静脉曲张微创、安全、美观、无需特殊设备、无新的学习曲线,具有一定推广价值.

Feasibility and efficacy of laparoscopic high ligation of spermatic vein by using two-port and three-trocar technique (report of 12 cases)

Objective To evaluate the feasibility and efficacy of laparoseopic high ligation of internal sperrnatie vein by using two-port three-trocar technique. Methods Twelve patients (17 latersis) diagnosed of varieocele were treated with laparoscopie high ligation of internal spermatie vein by using two-port three-troear technique under general anesthesia from Aug. 2009 to Nov. 2009. Small incision was made at the lower navel margin and one 5 mm port was inserted at the middle of the navel and the symphysis pubis. Varieoeele was treated by laparoscopic high ligation of internal spermafic vein. Results All operations were completed successfully. Mean operation time was 23(18-26)min unilaterally and 33 (30-34)min bilaterally. The average hospital stay was 2. 7 (2-3)day post-operatively. Follow-up was scheduled from 3 to 6 months. There was starless, no testicular atrophy and recurrence were observed postoperatively. Conclusions Laparoseopie high ligation with two-port three-trocar technique for the treatment of varicocele is minimally invasive, safe and efficient.