[单孔腹腔镜丝线结扎治疗精索静脉曲张20例报告]
[Single-port laparoscopic ligation with suture silk for varicocele: a report of 20 cases].
作者信息
Ma Yong, Zhang Bo, Miao Fa-Chen, Wang Zhan-Cheng, Yang Zhi-Guo
机构信息
Department of Urology, Shanxian Central Hospital, Shanxian, Shandong 274300, China.
出版信息
Zhonghua Nan Ke Xue. 2011 Dec;17(12):1101-3.
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 varicocele, and compared them with those of conventional three-port laparoscopic ligation (TPLL) for another 24 varicocele 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 varicocele has more advantages over TPLL for minimal invasiveness, faster recovery, and less scarring and extraneous residual.
目的
评估单孔腹腔镜丝线结扎术（SPLL）治疗精索静脉曲张的临床效果。
方法
分析丝线单孔腹腔镜结扎术治疗20例精索静脉曲张患者的临床效果，并与另外24例精索静脉曲张患者采用的传统三孔腹腔镜结扎术（TPLL）的效果进行比较。
结果
所有手术均成功。单孔腹腔镜丝线结扎术的手术时间为20 - 35（平均28）分钟，住院时间为2天；相比之下，三孔腹腔镜结扎术的手术时间为15 - 28（平均20）分钟，住院时间为3天。前者治愈率为75%，后者为67%，两组之间无显著差异（P > 0.05）。
结论
丝线单孔腹腔镜结扎术治疗精索静脉曲张比三孔腹腔镜结扎术具有更多优势，如微创、恢复快、瘢痕少及异物残留少。
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