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目的探讨经脐单孔腹腔镜精索静脉高位结扎术的可行性。方法 5例双侧精索静脉曲张患者行经脐单孔腹腔镜精索静脉高位结扎术,脐部做一2cm弧形切口,应用自制单孔多通道套管建立气腹,用传统腹腔镜器械行经腹精索静脉高位结扎。结果 5例手术均获成功。第1例手术时间为40min,后续4例手术时间约30min。术中、术后无并发症。术后第3天出院,术后两周复查,脐部无明显手术瘢痕。结论经脐单孔腹腔镜精索静脉高位结扎术是安全可行的,但操作难度较常规腹腔镜精索静脉高位结扎术复杂,脐部操作装置及手术器械有待进一步完善和改进,但其较传统腹腔镜精索静脉高位结扎术更加微创,没有瘢痕,极具推广价值,可望成为有前途的新型术式。
Objective To investigate the feasibility of transumbilical laparoscopic high varicocele ligation. METHODS: Five patients with bilateral varicocele underwent single-hole laparoscopic high varicocele ligation of the umbilical cord and a 2cm curved incision on the umbilicus. A pneumoperitoneum was established by using a self-made single-hole multi-channel cannula. The conventional laparoscopic instrument Abdominal spermatic vein high ligation. Results 5 cases of surgery were successful. The first operation time was 40min, followed by 4 cases of operation time of about 30min. No intraoperative and postoperative complications. The first 3 days after discharge, two weeks after the review, no obvious surgical scar in the umbilicus. Conclusions Transumbilical single hole laparoscopic varicocele ligation is safe and feasible, but the operation is more complicated than conventional laparoscopic varicocele ligation. Umbilicus devices and surgical instruments need to be further improved and improved, but more traditional Laparoscopic varicocele ligation more minimally invasive, no scars, great promotional value, is expected to become a promising new surgical procedures.