Ulker V, Garibyan H, Kurth K H
Department of Urology, University of Amsterdam, The Netherlands.
Int Urol Nephrol. 1997;29(1):71-7. doi: 10.1007/BF02551420.
To determine the pros and cons of inguinal and laparoscopic varix ligation techniques, we reviewed 53 patients who underwent inguinal (n = 35) and laparoscopic (n = 18) varicocelectomy at two centers. Intraoperative complications were not observed in either of the groups. There was 1 recurrence and 1 persistence in the laparoscopically treated patients. The inguinal approach had the advantage of shorter operating time (19.1 versus 52.8 min), ability to ligate the external spermatic veins, and it could be performed as an outpatient procedure. However, the laparoscopic approach seemed superior for preserving the spermatic artery (88.8% versus 68.5%) and had lesser postoperative morbidity.
为了确定腹股沟和腹腔镜下精索静脉曲张结扎术的优缺点，我们回顾了在两个中心接受腹股沟（n = 35）和腹腔镜（n = 18）精索静脉结扎术的53例患者。两组均未观察到术中并发症。腹腔镜治疗的患者中有1例复发和1例持续存在。腹股沟入路的优点是手术时间较短（19.1分钟对52.8分钟），能够结扎精索外静脉，并且可以作为门诊手术进行。然而，腹腔镜入路在保留精索动脉方面似乎更具优势（88.8%对68.5%），且术后发病率较低。
