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使用硬膜外和脊髓穿刺针进行皮下内镜辅助精索血管结扎术（SEAL-SV）：一种修复青少年精索静脉曲张的新技术。

Subcutaneous endoscopically assisted ligation of spermatic vessels (SEAL-SV) using an epidural-&-spinal needle: a novel technique to repair adolescent varicocele.

作者信息

Wang Furan, Chen Yi, Zhao Junfeng, Zhong Hongji, Li Yan, Shi Zhan

机构信息

Department of Pediatric Urology, Ningbo Women and Children's Hospital, Ningbo, 315031, Zhejiang, China.

出版信息

Pediatr Surg Int. 2017 Aug;33(8):917-919. doi: 10.1007/s00383-017-4117-0. Epub 2017 Jun 21.

DOI:10.1007/s00383-017-4117-0
PMID:28638941
Abstract

We describe a novel technique of subcutaneous endoscopically assisted ligation of spermatic vessels (SEAL-SV) using a modified epidural-&-spinal needle. This technique achieves very cosmetic and minimally invasive outcomes. We have successfully performed SEAL-SV for five consecutive boys and considered it a simple, safe, and effective procedure for adolescent varicoceles.

摘要

我们描述了一种使用改良的硬膜外和脊髓穿刺针进行皮下内镜辅助精索血管结扎术（SEAL-SV）的新技术。该技术实现了非常美观且微创的效果。我们已连续为五名男孩成功实施了SEAL-SV，并认为它是治疗青少年精索静脉曲张的一种简单、安全且有效的手术。

相似文献

1
Subcutaneous endoscopically assisted ligation of spermatic vessels (SEAL-SV) using an epidural-&-spinal needle: a novel technique to repair adolescent varicocele.使用硬膜外和脊髓穿刺针进行皮下内镜辅助精索血管结扎术（SEAL-SV）：一种修复青少年精索静脉曲张的新技术。
Pediatr Surg Int. 2017 Aug;33(8):917-919. doi: 10.1007/s00383-017-4117-0. Epub 2017 Jun 21.
2
[Needle laparoscopic varicocelectomy].
Zhonghua Nan Ke Xue. 2005 Nov;11(11):813-4.
3
Bilateral spermatic cord en bloc ligation by laparoendoscopic single-site surgery: preliminary experience compared to conventional laparoscopy.经腹腔镜单孔手术双侧精索静脉整块结扎术：与传统腹腔镜手术相比的初步经验
BMC Urol. 2014 Oct 23;14:83. doi: 10.1186/1471-2490-14-83.
4
[Laparoscopic spermatic vessel ligation in the treatment of varicocele: report of 129 procedures].[腹腔镜精索血管结扎术治疗精索静脉曲张：129例手术报告]
Ann Urol (Paris). 2002 Oct;36(5):329-33. doi: 10.1016/s0003-4401(02)00125-0.
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[Two methods of laparoscopic varicocelectomy for the treatment of spermatic varicocele].
Zhonghua Nan Ke Xue. 2003 Aug;9(5):372-4.
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Laparoscopic varicocele operation: a chance to prevent the recurrence.腹腔镜精索静脉曲张手术：预防复发的契机。
Acta Chir Hung. 1998;37(3-4):201-4.
7
[Spermatic-saphenous vein bypass in the treatment of essential varicocele].[精索-隐静脉旁路术治疗原发性精索静脉曲张]
Minerva Chir. 1990 Sep 30;45(18):1171-3.
8
[Laparoscopic ligation of spermatic vessels in varicocele].[腹腔镜下精索静脉曲张精索血管结扎术]
Urologe A. 1994 Jan;33(1):58-61.
9
LigaSure vessel sealing system in laparoscopic Palomo varicocele ligation in children and adolescents.儿童及青少年腹腔镜帕罗莫精索静脉曲张结扎术中的LigaSure血管闭合系统
J Laparoendosc Adv Surg Tech A. 2007 Apr;17(2):272-5. doi: 10.1089/lap.2006.0046.
10
[Anatomic characteristics of the vessels in the spermatic cord of the varicocele patient: A laparoscopic study].[精索静脉曲张患者精索内血管的解剖学特征：一项腹腔镜研究]
Zhonghua Nan Ke Xue. 2016 May;22(5):406-10.

引用本文的文献

1
Best practice in the diagnosis and treatment of varicocele in children and adolescents.儿童和青少年精索静脉曲张诊断与治疗的最佳实践
Ther Adv Urol. 2018 Jun 22;10(9):273-282. doi: 10.1177/1756287218783900. eCollection 2018 Sep.

本文引用的文献

1
Single-site laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural and spinal needle: excellent results in 1464 children with inguinal hernia/hydrocele.使用硬膜外针和脊椎针进行单部位腹腔镜经皮腹膜外内环闭合术：1464例腹股沟疝/鞘膜积液患儿的出色疗效
Surg Endosc. 2017 Jul;31(7):2932-2938. doi: 10.1007/s00464-016-5309-8. Epub 2016 Nov 4.
2
The role of testicular artery in laparoscopic varicocelectomy: a systematic review and meta-analysis.睾丸动脉在腹腔镜精索静脉曲张结扎术中的作用：一项系统评价和荟萃分析。
Int Urol Nephrol. 2016 Jun;48(6):955-65. doi: 10.1007/s11255-016-1254-7. Epub 2016 Mar 12.
3
Single incision transumbilical laparoscopic varicocelectomy versus the conventional laparoscopic technique: A randomized clinical study.
经脐单切口腹腔镜精索静脉结扎术与传统腹腔镜技术的随机对照临床研究。
Int J Surg. 2015 Jun;18:178-83. doi: 10.1016/j.ijsu.2015.04.048. Epub 2015 May 1.
4
Adolescent varicocelectomy: does artery sparing influence recurrence rate and/or catch-up growth?青少年精索静脉曲张手术：保留动脉是否会影响复发率和/或追赶生长？
Andrology. 2014 Mar;2(2):159-64. doi: 10.1111/j.2047-2927.2013.00142.x. Epub 2013 Dec 13.
5
Single-port laparoscopic extraperitoneal repair of pediatric inguinal hernias and hydroceles by using modified Kirschner pin: a novel technique.改良克氏针经脐单孔腹腔镜腹膜外治疗小儿腹股沟疝和鞘膜积液：一种新方法。
Hernia. 2014 Jun;18(3):345-9. doi: 10.1007/s10029-013-1181-9. Epub 2013 Nov 12.
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Blue patent lymphography prevents hydrocele after laparoscopic varicocelectomy: 10 years of experience.蓝色专利淋巴管造影术可预防腹腔镜精索静脉曲张切除术后鞘膜积液：十年经验
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Dye-assisted lymphatic-sparing laparoscopic varicocelectomy in children.染料辅助的保留淋巴管的小儿腹腔镜精索静脉结扎术。
J Pediatr Urol. 2013 Feb;9(1):33-7. doi: 10.1016/j.jpurol.2011.11.004. Epub 2011 Dec 1.
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Intraabdominal laparoscopy-assisted "open" vessel ligation of testicular vessels: a potential treatment for varicocele.腹腔内腹腔镜辅助下“开放”睾丸血管结扎术：精索静脉曲张的一种潜在治疗方法。
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9
Laparoscopic vs open varicocelectomy in children and adolescents: review of the recent literature and meta-analysis.腹腔镜与开放精索静脉结扎术治疗儿童和青少年精索静脉曲张：文献回顾和荟萃分析。
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Laparoscopic ligation of internal ring-three ports versus single-port technique: are working ports necessary?
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