Rauchenwald M, Colombo T, Mischinger H J, Petritsch P H, Hubmer G
Universitätsklinik für Urologie, Karl-Franzens-Universität, Graz.
Urologe A. 1994 Jan;33(1):58-61.
Open surgical procedures and percutaneous transvenous radiological techniques are available for the treatment of varicoceles. With the advent of laparoscopic surgery another minimally invasive procedure has become available. In 39 patients with left unilateral and 1 with bilateral, clinically evident, varicocele laparoscopic ligation of the spermatic vessels was performed. In 17 cases both the spermatic veins and the artery were cut, whereas in 24 cases it was possible to spare the spermatic artery. In more than 90% of these cases the artery could be identified as a pulsatile vessel. No serious complications were encountered. All patients were discharged from the hospital on postoperative day 1 or 2. Out of 26 patients who could be followed clinically and by colour coded Duplex sonography, 1 showed signs of persistent and 1 of recurrent varicocele. The quick convalescence of the mostly young patients, the excellent identification of the anatomic structures, and the minimal surgical trauma are advantages of laparoscopic varicocelectomy.
开放手术和经皮经静脉放射技术可用于治疗精索静脉曲张。随着腹腔镜手术的出现，另一种微创手术也应运而生。对39例左侧单侧和1例双侧临床明显的精索静脉曲张患者进行了腹腔镜精索血管结扎术。17例患者的精索静脉和动脉均被切断，而24例患者的精索动脉得以保留。在这些病例中，超过90%的动脉可被识别为有搏动的血管。未发生严重并发症。所有患者均在术后第1天或第2天出院。在26例可通过临床和彩色编码双功超声进行随访的患者中，1例出现持续性精索静脉曲张体征，1例出现复发性精索静脉曲张体征。腹腔镜精索静脉高位结扎术的优点包括大多数年轻患者恢复快、解剖结构识别良好以及手术创伤极小。
