经脐Mini纯单孔腹腔镜下Palomo术治疗78例青少年精索静脉曲张  

Treatment of teenage varicocele by transumbilical mini pure single-port laparoscopic Palomo＇s surgery： a report of 78 cases

作　　者：李文辉[1] 张伟[1] 吴永胜[1] 李伟文[1] 周九云 宋全斌[1] 秦红平[1] 

机构地区：[1]解放军第一医院泌尿外科,兰州735000

出　　处：《国际外科学杂志》2014年第5期308-310,F0003,共4页International Journal of Surgery

摘　　要：目的 探讨经脐Mini纯单孔腹腔镜术治疗原发性青少年精索静脉曲张的优越性.方法 对78例原发性青少年精索静脉曲张患者均行经脐Mini纯单孔腹腔镜下Palomo手术治疗,观察疗效,总结手术时间、出血量、并发症及住院时间.所有患者术后随访6 ～18个月.结果 78例手术均获成功,疗效满意,手术时间5 ～ 15 min,平均8 min,术中出血量1～5 mL,平均1.5 mL,术后住院时间2～4d,平均3d.术中、术后无并发症.随访6～18个月复查精液常规95％正常.结论 经脐Mini纯单孔腹腔镜下Palomo术治疗原发性青少年精索静脉曲张有明显优越性,具有推广应用价值.Objective To evaluate the clinical superiority of transumbilical mini pure single-port laparoscopic Palomo＇s surgery on the treatment of primary teenage varicocele.Methods All operations were successfully completed using mini pure single-port laparoscopic Palomo＇s surgery.Its clinical effects were evaluated by the operative time,blood loss volume,intra-or post-operative complications,and hospital stay.Six to eighteen months after surgery,follow-up was made in 78 patients.Results All the operations were successful.The operation time was 5-15 （mean 8） minutes,the intra-operative loss blood was 1-5 （mean 1.5） mL,and the post-operative hospital stay was 2-4 （mean 3） days.No intra-operative or post-operative complications happened.Sperm analysis of 95％ patients came back to normal in 6-18 months.Conclusions The transumbilical mini pure single-port laparoscopic Palomo＇s technique has more obvious superiority and it is worthy of clinical application and generalized widely.

关 键 词：经脐 纯单孔 腹腔镜 Palomo术 青少年 精索静脉曲张 

分 类 号：R699.8[医药卫生—泌尿科学]