一孔法微型腹腔镜精索静脉高位结扎术

High ligation of internal spermatic vein under mini-laparoscopy in one hole method

目的介绍一孔法微型腹腔镜精索静脉高位结扎术治疗精索静脉曲张的手术方法,探讨其临床应用价值。方法采用一孔法微型腹腔镜精索静脉高位结扎术治疗精索静脉曲张11例,年龄19～45岁,平均26岁,病程1个月至5年,单侧病变9例,双侧病变2例。结果单侧精索静脉曲张手术时间为10～20min,平均12min,双侧病变患者手术时间为1例20min,1例30min,平均25min。患者术后疼痛轻微、均无需使用止痛药,平均住院时间2.7d,随访1～3个月未见复发、阴囊气肿、阴囊水肿、鞘膜积液、睾丸萎缩等并发症。结论一孔法微型腹腔镜精索高位结扎术治疗精索静脉曲张疗效可靠,具有微创、安全、美观的优点。

Objective To introduce an operation method of high ligation of internal spermatic vein under mini-laparoscopy in one hole method for varicocele, and explore its clinical value. Mothoda 11 patients with varicocele aged from 19 to 45 years old and course from 1 month to 5 years, accepted the high ligation of internal spermatic vein using mini-laparoscopy by one hole method. Among them, 9 cases had varicocele on one side, 2 cases on both sides. Results The operation-time for one-side varicocelectomy ranged from 10 min to 20 min, average 12 min, from 20 min to 30 min and average 25 min for both-side varicocelectomy. The average hospitalization during was 2.7 days. No one required anodyne after the operation, no one occurled relapse and complications after 1 to 3-months follow-up. Conclusion High ligation of internal spermatic vein under mini-laparoscopy in one hole method for the treatment of varicocele offers reliable efficacy with multiple advantages of minimal invasion, safty, dear visual field.