腹腔镜二孔法行双侧精索静脉结扎术

Laparoscopic high clip ligation on bilateral internal spermatic veins with two trocars method

采用最小的侵入技术是外科发展的新趋向。继内窥镜下手术及体外震波疗法之后,腹腔镜外科是另一种较小创伤的外科治疗新技术。自1993年5月至8月,我们应用美国Stryker腹腔镜取二孔法行双侧精索内静脉结扎术8例。7例行硬膜外麻醉,另1例行气管插管全麻。与传统开放手术相比,该术式操作简单、损伤小,术后恢复快、效果可靠。作者回顾了腹腔镜历史,对术中操作要点进行了讨论。

Since May 1993 to August 1993, we performed laparoscopic bilaterally varix ligation in 8 patients with two trocars method. We developed the laparoscopic procedure that is as simple and effective as more traditional methods. In addition, it offers lower morbidity, allows for microscopic dissection with preservation of the spermatic artery and is amenable to bilateral ligation without a second incision. It is reviewed that history of laparoscopy and it is discussed that procedure of laparoscopy.