| 经脐单孔腹腔镜下精索内静脉高位结扎术46例临床分析 |
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| 引用本文： | 李彦锋,孙中义,吴刚,梁培乐,张勇,周波,王洛夫,靳风烁.经脐单孔腹腔镜下精索内静脉高位结扎术46例临床分析[J].第三军医大学学报,2010,32(24). |
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| 作者姓名： | 李彦锋 孙中义 吴刚 梁培乐 张勇 周波 王洛夫 靳风烁 |
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| 作者单位： | 第三军医大学大坪医院野战外科研究所泌尿外科,重庆,400042 |
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| 摘 要： | 目的寻求治疗精索静脉曲张的微创新技术并对经脐单孔腹腔镜下精索内静脉高位结扎术的临床经验进行总结。方法回顾分析我院2009年1月至2010年6月采用经脐单孔双通道法(双Trocar法),进行腹腔镜下精索内静脉高位结扎术治疗的46例精索静脉曲张患者的临床资料。结果 46例患者均为Ⅱ~Ⅲ度精索静脉曲张,年龄15~29岁,平均21.5岁;病史6个月至8年,平均2.5年;左侧42例,双侧4例;手术均采用精索血管集束结扎方式顺利完成,手术时间15~40 min,平均21 min;出血量0~5 ml;住院时间2~5 d,平均3.5 d;随访2~18个月,无静脉曲张复发、阴囊水肿,无睾丸萎缩等远期并发症。结论经脐单孔腹腔镜下精索内静脉高位结扎术安全快捷、创伤小、并发症少、恢复快、腹壁不留疤痕,是治疗精索静脉曲张的微创新术式,宜于推广使用。
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| 关 键 词： | 精索静脉曲张 单孔腹腔镜 精索内静脉结扎术 |
Modified trans-umbilical laparoendoscopic single-site varicocelectomy:a retro spective report of 46 cases |
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| Li Yanfeng,Sun Zhongyi,Wu Gang,Liang Peihe,Zhang Yong,Zhou Bo,Wang Luofu,Jin Fengshuo.Modified trans-umbilical laparoendoscopic single-site varicocelectomy:a retro spective report of 46 cases[J].Acta Academiae Medicinae Militaris Tertiae,2010,32(24). |
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| Authors: | Li Yanfeng Sun Zhongyi Wu Gang Liang Peihe Zhang Yong Zhou Bo Wang Luofu Jin Fengshuo |
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| Institution: | Li Yanfeng,Sun Zhongyi,Wu Gang,Liang Peihe,Zhang Yong,Zhou Bo,Wang Luofu,Jin Fengshuo(Department of Urology,Institute of Surgery Research,Daping Hospital,Third Military Medical University,Chongqing,400042,China) |
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| Abstract: | Objective To summarize our experience on a novel modified trans-umbilical laparoendoscopic single-site technique for varicocelectomy in the treatment of varicocele and analyze the clinical value of this approach.Methods A novel modified trans-umbilical laparoendoscopic single-site technique with double trocar while without any access platform which has several channels for instrumentation was created and performed for varicocelectomy in 46 varicocele patients(mean age,21.5,ranging from 15 to 29;course of di... |
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| Keywords: | varicocele trans-umbilical laparoscopy spermatic vein ligation |
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