Niu Zhi-Shang, Hao Chun-Sheng, Ye Hui, Bai Dong-Sheng, Ming An-Xiao, Qiu Ying, Song Jin-Qiu, Li Long
Zhonghua Nan Ke Xue. 2014 Apr;20(4):342-6.
To compare the effect of transumbilical single-site single-port with that of transumbilical single-site double-port laparoscopic varicocelectomy in the treatment of varicocele in adolescents.
We randomly assigned 80 varicocele patients aged 10 - 16 years to two groups of equal number to receive transumbilical single-site single-port and single-site double-port laparoscopic varicocelectomy, respectively. We compared the operation time, postoperative hospital stay, incisional pain, complications and satisfaction with the abdominal cosmetic outcomes between the two groups.
All the operations were successfully performed. The double-port group showed a significantly higher score on the Visual Analogue Scale than the single-port group (4.8 +/- 1.4 vs 3.6 +/- 1.1, t = -4.986, P < 0.01), but there were no significant differences between the two groups in the operation time ([29.8 +/- 4.2] vs [31.2 +/- 4.6] min, t = 1.383, P = 0.171), postoperative hospital stay ([1.95 +/- 0.7] vs [1.82 +/- 0.8] d, t = -0.784, P = 0.436), complications (0 vs 0) and scores on the satisfaction with abdominal cosmetic outcomes (4.6 +/- 0.6 vs 4.8 +/- 0.5, t = 1.253, P = 0.214). No recurrence, umbilical hernia, hydrocele and orchiatrophy were found in the two groups of patients at 6 months after operation, and no visible scar was observed on the abdominal surface.
With strict surgical indications, single-site single-port and single-site double-port laparoscopic varicocelectomies have similar clinical effects in the treatment of varicocele, which leave no scar on the abdominal surface. Single-site double-port laparoscopy needs no special instruments and therefore is worthier of wide clinical application.
比较经脐单部位单孔与经脐单部位双孔腹腔镜精索静脉高位结扎术治疗青少年精索静脉曲张的效果。
将80例年龄在10 - 16岁的精索静脉曲张患者随机分为两组，每组40例，分别接受经脐单部位单孔和单部位双孔腹腔镜精索静脉高位结扎术。比较两组的手术时间、术后住院时间、切口疼痛、并发症以及对腹部美容效果的满意度。
所有手术均顺利完成。双孔组视觉模拟评分显著高于单孔组（4.8±1.4 vs 3.6±1.1，t = -4.986，P < 0.01），但两组在手术时间（[29.8±4.2] vs [31.2±4.6]分钟，t = 1.383，P = 0.171）、术后住院时间（[1.95±0.7] vs [1.82±0.8]天，t = -0.784，P = 0.436）、并发症（均为0）以及对腹部美容效果的满意度评分（4.6±0.6 vs 4.8±0.5，t = 1.253，P = 0.214）方面差异均无统计学意义。术后6个月两组患者均未发现复发、脐疝、鞘膜积液及睾丸萎缩，腹部表面未见明显瘢痕。
在严格掌握手术适应证的情况下，单部位单孔与单部位双孔腹腔镜精索静脉高位结扎术治疗精索静脉曲张的临床效果相似，腹部表面均无瘢痕。单部位双孔腹腔镜手术无需特殊器械，更值得临床广泛应用。
