Amendolara M, Antoniello L, Battocchio F
Unità Operativa Autonoma di Chirurgia, Presidio Ospedaliero di Este, PD.
Chir Ital. 1999 May-Jun;51(3):247-52.
The Authors present their experience on the treatment of the varicocele; they performed laparoscopic clamping of the internal spermatic vein in 12 subfertile patients, utilizing only the bipolar coagulation without the use of clips. All patients were available for follow-up, which ranged from 6 to 12 months, including physical examination, Doppler C.W. and study of semen quality. Recurrence of varicocele was not observed, the semen quality demonstrated improvement in semen motility in 9 patients (75%) and normal on 3 patients (25%). The use of bipolar coagulation with smaller ports (phi 5 mm) resulted in less postoperative pain and shorter convalescence than when larger ports were used (phi 10 mm). The Authors conclude that the laparoscopic procedure, used as they do, is safe and costs less than classic ligation with clips as well as radiological occlusion procedures.
作者介绍了他们在精索静脉曲张治疗方面的经验；他们对12例不育患者进行了腹腔镜下精索内静脉钳夹术，仅使用双极电凝而不使用夹子。所有患者均接受了随访，随访时间为6至12个月，包括体格检查、多普勒连续波检查和精液质量研究。未观察到精索静脉曲张复发，精液质量方面，9例患者（75%）的精液活力有所改善，3例患者（25%）恢复正常。与使用较大端口（10毫米）相比，使用较小端口（5毫米）的双极电凝导致术后疼痛减轻，康复时间缩短。作者得出结论，他们所采用的腹腔镜手术是安全的，且成本低于经典的夹子结扎术以及放射闭塞术。
