Musella M, Imbimbo C, Palmieri A, Mirone V, Musella S
Università degli Studi di Reggio Calabria, Facoltà di Medicina e Chirurgia di Catanzaro.
Ann Ital Chir. 1995 Jul-Aug;66(4):537-42.
The aim of this work is to remark the scientific worth of the laparoscopic approach in patients with varicocele.
From March 1993 to December of the same year 15 patients suffering from varicocele have been treated with a laparoscopic procedure. The technique is widely described in the next pages.
Twelve patients have completed the 3 months follow-up whereas five among them have reached the 6 months control. The results are really interesting specially under a functional point of view.
The noninvasive advantages provided by laparoscopy are always important, but is the worth of the results we have obtained under a functional point of view and the success in inducing pregnancy in some patients that lead us to remark the utility of this procedure comparing it, with the therapeutic proposals nowadays performed. They are: traditional surgery according to Ivanissevich or Palomo procedures percutaneous transvenous embolization under radiological guide varicocele vein ligation under local anesthesia.
Laparoscopic varicocelectomy represents according to us and some other authors a proposal with a better response if compared to traditional surgery, specially under a functional aspect. Under a costs-benefits evaluation it may be considered more convenient than the radiological approach.
本研究的目的是强调腹腔镜手术治疗精索静脉曲张患者的科学价值。
1993年3月至同年12月，对15例精索静脉曲张患者采用腹腔镜手术治疗。该技术将在下文中详细描述。
12例患者完成了3个月的随访，其中5例进行了6个月的复查。从功能角度来看，结果非常有趣。
腹腔镜手术提供的无创优势固然重要，但正是我们从功能角度获得的结果以及部分患者成功受孕，促使我们强调该手术的实用性，并将其与目前的治疗方案进行比较。这些方案包括：按照伊万尼塞维奇或帕洛莫手术方式进行的传统手术、在放射学引导下经皮经静脉栓塞术、局部麻醉下精索静脉曲张静脉结扎术。
在我们以及其他一些作者看来，与传统手术相比，腹腔镜精索静脉高位结扎术在功能方面反应更佳。从成本效益评估来看，它可能比放射学方法更具优势。
