经脐单孔腹腔镜与传统腹腔镜精索内静脉高位结扎术的对比研究

The comparative study of transumbilical single port laparoscopic and conventional laparoscopic high ligation of spermatic vein

目的:探讨经脐单孔腹腔镜精索内静脉高位结扎术的可行性。方法:回顾分析2009年1月至2012年4月为40例患者分别行经脐单孔腹腔镜(单孔组)与传统腹腔镜(传统组)精索静脉高位结扎术的临床资料,对比两组患者术中出血量、手术时间、术后并发症、住院时间、术后切口疼痛、随访6个月后阴囊及下腹部坠胀不适、睾丸鞘膜积液、复发、患者满意度等指标。结果:40例手术均获成功,两组术中出血量差异无统计学意义;单孔组术后疼痛、住院时间优于传统组;手术时间长于传统组。随访6个月,两组患者均无复发,但单孔组患者满意度、并发症优于传统组。结论:经脐单孔腹腔镜精索内静脉高位结扎术安全、可行,随着手术经验的增加,单孔腹腔镜手术有望取代传统腹腔镜手术,值得推广应用。

Objective：To explore and summarize the feasibility of transumbilieal single-port laparoscopic high ligation of sper- matic vein. Methods ： The clinical data of 40 patients who underwent transumbilical single-port laparoscopie or conventional laparoscopic high ligation of spermatic vein were retrospectively analyzed. The blood loss, mean operative time, postoperative complications, hospital stay,postoperative incisional pain, follow-up data after 6 months （discomfort of scrotum and lower abdomen, bydroeele of testis and re- currence, the patientg satisfaction and other indicators） of the two groups were compared. Results：All the 40 surgeries were successful, the difference of blood loss between the 2 groups was not significant ,while the operative time of traditional group was shorter than that in the transumbilical single port group, postoperative pain and hospital stay in the single-port group were better than the traditional group. During the follow-up of 6 months, no recurrence was found in the 2 groups ,patientg satisfaction and complications of single-port group were better than the traditional group. Conclusions：The transumbilical single port laparoscopic high ligation of spermatic vein is safe and feasible, with the increase of experience, single port laparoseopic surgery may replace traditional laparoscopy, and is worth promo- tmg