经脐单孔腹腔镜下精索静脉高位结扎术(附5例报道)

目的 探讨经脐单孔腹腔镜精索静脉高位结扎术的可行性.方法 5例双侧精索静脉曲张患者行经脐单孔腹腔镜精索静脉高位结扎术,脐部做一2cm弧形切口,应用自制单孔多通道套管建立气腹,用传统腹腔镜器械行经腹精索静脉高位结扎.结果 5例手术均获成功.第1例手术时间为40min,后续4例手术时间约30min.术中、术后无并发症.术后第3天出院,术后两周复查.脐部无明显手术瘢痕.结论 经脐单孔腹腔镜精索静脉高位结扎术是安全可行的,但操作难度较常规腹腔镜精索静脉高位结扎术复杂,脐部操作装置及手术器械有待进一步完善和改进,但其较传统腹腔镜精索静脉高位结扎术更加微创,没有瘢痕,极具推广价值,可望成为有前途的新型术式.

Transumbilical single-port laparoscopic varicocelectomy (report of 5 cases)

Objective To evaluate the feasibility of transumbilical single-port laparoscopic varicocelectomy (TUSPLV)in clinic.Methods Total of 5 patients with bilateral varicocele underwent TUSPLV.Before performing TUSPLV with conventional laparoscopic instruments,we made arch incisions with2cm around the umbilicus and created pneumoperitonium through home-made single-port multipath trocar.Results All procedures were performed successfully.Time of fist case operation was 40 rain and time of the other operations was 30min.No complications occurred during or post operation.The average day of hospitalization was only 3 days.No obvious scars were found observed during two weeks follow-up.Conclusion Transumbilical single-port laparoscopic varicocelectomy was safe and valid for the treatment of varicocele.Compared with regular laparoscopic varicocelectomy,TUSPLV displayed the characteristics of less invasive and scarless.This method will be a promising operation mode in clinic.