单孔与传统三孔法腹腔镜手术治疗双侧精索静脉曲张的对比研究

目的:探讨单孔与传统三孔法腹腔镜手术治疗双侧精索静脉曲张的临床价值。方法:回顾分析2009年10月至2011年6月26例单孔腹腔镜和30例传统三孔法腹腔镜双侧精索静脉高位结扎术的临床资料。结果:两组术后住院时间、住院总费用、手术安全性、术后并发症等无明显差异,三孔组手术时间、操作难度优于单孔组,但单孔腹腔镜术后切口瘢痕小,更能体现微创、美容的效果。结论:单孔腹腔镜手术具有微创手术的所有优点,术后腹壁不留瘢痕,创伤更小,是微创治疗精索静脉曲张的新进展,值得推广应用,但手术时间较长,有一定的操作难度。

Comparative study between single-hole laparoscopic and traditional laparoscopic ( three holes) in treatment of varicocele

Objective:To discuss the clinical application value of single-hole laparoscopic and traditional laparoscopic(three holes) in treatment of varicocele.Methods:The clinical data of 56 patients with bilateral varicocele who underwent laparoscopy from Oct.2009 to Jun.2011 were analyzed retrospectively,26 cases underwent single-hole laparoscopy,the others underwent three-port laparoscopy.Results:Two kinds of surgical treatment of bilateral varicocele in postoperative hospitalization time,be in hospital total cost,operation safety,postoperative complications had no obvious difference,traditional laparoscopic surgical operation in time,operation difficulty was superior to the single,but the single-hole laparoscopy had smaller incision scar,it could be better reflected the minimally invasive and cosmetic result.Conclusions:Single-hole laparoscopy that has all the advantages of minimally invasive surgery,such as no scar,less invasive and so on is minimally invasive treatment varicocele new progress,and clinical application,but slightly long operation time,have certain operation difficulty,require surgical training abdominal cavity.