Matsuda T, Ogura K, Uchida J, Fujita I, Terachi T, Yoshida O
Department of Urology, Kansai Medical University, Osaka, Japan.
J Urol. 1995 Apr;153(4):1175-7.
Minimal postoperative pain and a shorter convalescence after laparoscopic surgery are attributable to the small puncture wounds produced to accommodate trocars. We investigated the effects of trocar size on convalescence after 37 laparoscopic varicocelectomies. The initial 21 patients underwent the procedure with 2, 10 mm. ports and 1, 5 mm. port, while the last 16 underwent surgery with 3, 5 mm. ports. Postoperative convalescence was evaluated by a questionnaire. The patients who underwent the 5 mm. port technique achieved complete pain relief, returned to work and could resume work at preoperative levels significantly earlier than those who underwent the 10 mm. port technique (2.4 +/- 1.5 days versus 5.9 +/- 4.8 days, p < 0.03; 8.2 +/- 3.1 days versus 10.0 +/- 2.5 days, p < 0.03, and 10.2 +/- 4.4 days versus 14.3 +/- 6.5 days, p < 0.03, respectively). Our study showed that laparoscopic surgery with smaller ports resulted in less postoperative pain and a shorter convalescence than when larger 10 mm. ports were used.
腹腔镜手术后疼痛轻微且恢复期较短，这归因于为容纳套管针而产生的小穿刺伤口。我们调查了37例腹腔镜精索静脉曲张切除术套管针尺寸对恢复期的影响。最初的21例患者采用2个10毫米端口和1个5毫米端口进行手术，而最后16例采用3个5毫米端口进行手术。通过问卷调查评估术后恢复期。采用5毫米端口技术的患者实现了完全止痛，恢复工作并能比采用10毫米端口技术的患者显著更早恢复到术前工作水平（分别为2.4±1.5天对5.9±4.8天，p<0.03；8.2±3.1天对10.0±2.5天，p<0.03；10.2±4.4天对14.3±6.5天，p<0.03）。我们的研究表明，与使用较大的10毫米端口相比，采用较小端口的腹腔镜手术术后疼痛较轻且恢复期较短。
