Mischinger H J, Colombo T, Rauchenwald M, Altziebler S, Steiner H, Vilits P, Hubmer G
Department of Surgery, Karl-Franzens University, Medical School, Graz, Austria.
Br J Urol. 1994 Jul;74(1):112-6. doi: 10.1111/j.1464-410x.1994.tb16557.x.
To report the results of laparoscopic varicocelectomy, a new surgical technique which presents minimal risks and provides an effective management of clinical varicoceles.
Between July 1991 and November 1992, 45 laparoscopic varicocelectomies were performed in 44 patients whose ages ranged from 11 to 41 years. Endoscopic ligation, carried out according to the technique described by Palomo, was performed in 14 patients. In the remaining 30 patients ligation of 31 spermatic veins was performed according to Bernardi's procedure.
On post-operative follow-up symptoms disappeared in all the patients treated. Two of the patients showed persistent venous reflux on colour Doppler ultrasound examination.
The excellent identification of the anatomical structures, the minimal surgical trauma, the decrease in post-operative morbidity and the quick convalescence of the patients have made this new technique a viable alternative to routine open high ligation.
报告腹腔镜精索静脉结扎术的结果，这是一种风险极小且能有效治疗临床精索静脉曲张的新手术技术。
1991年7月至1992年11月期间，对44例年龄在11至41岁之间的患者实施了45例腹腔镜精索静脉结扎术。14例患者按照帕洛莫描述的技术进行了内镜结扎。其余30例患者根据贝尔纳迪的手术方法结扎了31条精索静脉。
所有接受治疗的患者术后随访症状均消失。两名患者经彩色多普勒超声检查显示存在持续性静脉反流。
对解剖结构的出色识别、最小的手术创伤、术后发病率的降低以及患者的快速康复，使这项新技术成为常规开放高位结扎术的可行替代方法。
