Poulsen E U, Willumsen H, Colstrup H, Jensen K M
Urologisk afdeling, Skejby Sygehus, Arhus.
Ugeskr Laeger. 1994 Sep 26;156(39):5683-5.
We compared the results of laparoscopic varicocelectomy in 11 patients with those of 11 conventional varicocelectomies. There was a significantly longer operating time for laparoscopic surgery (45 versus 35 minutes), but a shorter hospital stay (one versus two days) and a quicker return to normal activity (two versus four days). There was no statistically significant difference in the outcome of surgery in the two groups concerning symptomatology and objective findings, but three patients, all conventionally operated, had no effect of the operation. One patient, operated laparoscopically, had signs of genitofemoral nerve injury. We conclude that laparoscopic varicocelectomy may be superior to conventional surgery, but further evaluation in larger, prospective studies is warranted.
我们将11例接受腹腔镜精索静脉结扎术的患者结果与11例接受传统精索静脉结扎术的患者结果进行了比较。腹腔镜手术的手术时间明显更长（45分钟对35分钟），但住院时间更短（1天对2天），恢复正常活动更快（2天对4天）。两组手术结果在症状学和客观检查结果方面无统计学显著差异，但3例接受传统手术的患者手术无效。1例接受腹腔镜手术的患者出现生殖股神经损伤迹象。我们得出结论，腹腔镜精索静脉结扎术可能优于传统手术，但需要在更大规模的前瞻性研究中进行进一步评估。
