经脐单孔腹腔镜丝线结扎法治疗精索静脉曲张20例报告

Single-port laparoscopic ligation with suture silk for varicocele: A report of 20 cases

目的:探讨经脐单孔腹腔镜下用丝线结扎法治疗精索静脉曲张的疗效。方法:回顾分析我院采用经脐单孔腹腔镜下丝线结扎法治疗20例精索静脉曲张与24例既往三孔腹腔镜法的临床效果对比。结果:所有手术均获成功,单孔手术时间20～35 min,平均28 min,术后平均住院时间2 d,三孔手术15～28 min,平均20 min,平均住院时间3 d。单孔手术与三孔手术后症状消失率分别为75%和67%,无显著差异(P>0.05),术后患者康复快,疗效满意。结论:经脐单孔腹腔镜下丝线结扎法治疗精索静脉曲张安全可行,瘢痕少可减少体内异物存留,比传统腹腔镜更微创。

Objective： To evaluate the clinical effect of single-port laparoscopic ligation （SPLL） with suture silk for the management of varicocele. Methods ： We analyzed the clinical effects of SPLL with suture silk in the treatment of 20 cases of varieocele, and compared them with those of conventional three-port laparoscopic ligation （TPLL） for another 24 varieocele patients. Results ： All the operations were successful. The operation time was 20 - 35 （ mean 28 ） minutes and the hospital stay was 2 days for SPLL, as compared with 15 -28 （mean 20） minutes and 3 days for TPLL. The cure rate was 75% for the former, and 67% for the latter, with no signification difference between the two groups （ P 〉 0.05 ）. Conclusion ： SPLL with suture silk for the treatment of varicoeele has more advantages over TPLL for minimal invasiveness, faster recovery, and less scarring and extraneous residual.