腹腔镜精索静脉高位结扎术31例

Varicocele ligation under laparoscopy in 31 cases

目的评价腹腔镜精索静脉高位结扎术的效果及价值。方法回顾性分析31例腹腔镜精索静脉高位结扎术的治疗效果及恢复情况。结果31例手术均获成功，平均手术时间27．3min，基本无出血，术后平均住院2．3d：随访3-18个月，1例复发，复发率为3．2％。结论腹腔镜精索静脉高位结扎术创伤小，治疗效果好，尤其对双侧精索静脉曲张和开放性手术后复发可以作为首选。

Objective To evaluate the clinical results and value of iaparoscopic varecocele ligation. Methods To analyse the cinical data of 31 patients who underwent laparoacopic varicocele ligation retrospectively. Results All operations were completed successfully with little blood loss, and mean operative time was 27.3 minutes , and mean hospital days after operation were 2.3 days. Being followed up for 3 ～ 18 months, one patient developed the recurrence of varicele. Conlusion Laparoscopic varicocele ligation is effective and minimally invasive and h should be the first choice for patients with bilateral varicocele and those recurrent after open surgery.