Darzi A, Carey P, Menzies-Gow N, Monson J R
Academic Surgical Unit, St. Mary's Hospital Medical School, Imperial College, London, England.
Surg Laparosc Endosc. 1994 Jun;4(3):210-2.
We report our initial experience of laparoscopic ligation of varicocele in 13 patients with a mean age of 34 years (range 18-39). Eight patients were subfertile, and the rest complained of dragging pain and discomfort in the left scrotum. At laparoscopy the peritoneum overlying the spermatic vessels was divided, and the spermatic veins were mobilized, clipped, and divided. The spermatic artery was identified and preserved in 11 of the 13 cases. The patients were discharged within 24 h of hospital admission. Semen quality improved in seven of the eight subfertile patients studied with a mean follow-up of 8 months. Four patients who were operated on for pain and discomfort had symptomatic improvement by the time of their first outpatient visit at 3 months. One patient complained of paresthesia along the anterior aspect of his thigh, which resolved in 6 weeks. There were no other complications. Laparoscopic varicocelectomy is a safe and effective minimally invasive procedure for treatment of clinical varicocele.
我们报告了对13例精索静脉曲张患者进行腹腔镜下精索静脉结扎术的初步经验，这些患者的平均年龄为34岁（范围18 - 39岁）。8例患者存在生育力低下问题，其余患者主诉左侧阴囊有坠胀疼痛和不适感。在腹腔镜检查时，切开覆盖精索血管的腹膜，游离、夹闭并切断精索静脉。在13例患者中的11例中识别并保留了精索动脉。患者在入院后24小时内出院。在平均随访8个月的8例生育力低下患者中，有7例精液质量得到改善。4例因疼痛和不适接受手术的患者在术后3个月首次门诊就诊时症状有所改善。1例患者抱怨大腿前侧有感觉异常，6周后症状消失。未出现其他并发症。腹腔镜下精索静脉高位结扎术是治疗临床精索静脉曲张的一种安全有效的微创手术。
