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目的:总结经脐单孔三通道腹腔镜下精索内静脉高位结扎的临床经验。方法:经脐单孔三通道腹腔镜下精索内静脉高位结扎术15例,其中左侧曲张13例,右侧曲张2例。结果:患者手术均获成功,无近期并发症发生,平均手术时间28min,术后平均住院4d。结论:经脐单孔三通道腹腔镜下精索内静脉高位结扎术是一种治疗精索静脉曲张可选的新术式,患者痛苦小,恢复快,更具有良好的美容和微创治疗效果,操作难度不大。
OBJECTIVE: To summarize the clinical experience of transperitoneal ligation of the spermatic cord through laparoscopic transthoracic three-channel laparoscopic transection. Methods: 15 cases of laparoscopic spermatic vein ligation via umbilical single hole three-channel laparoscopic surgery, including 13 cases of left varicose veins and 2 cases of right varicose veins. Results: All the patients were operated successfully without any recent complications. The average operation time was 28 minutes and the average postoperative hospital stay was 4 days. Conclusion: Trans-umbilical single hole three-channel laparoscopic spermatic vein ligation is a new surgical method for the treatment of varicocele. The patients have less pain and faster recovery, and have better cosmetic and minimally invasive treatment effects , The operation is not difficult.