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目的探讨完全经腹膜外路径腹腔镜下精索静脉高位结扎术的可行性。方法 2010年4月至2016年9月,硬膜外麻醉或全麻下采用手指钝性分离建立空间,使用传统腹腔镜器械行完全经腹膜外腹腔镜技术治疗精索静脉曲张(VC)78例。结果 78例手术均获成功,无中转开放手术,手术时间(60.1±30.5)min,术中出血量(10.2±6.2)m L,术后住院时间(3.5±1.2)d,术中、术后基本无并发症,腹壁无明显手术瘢痕。结论完全经腹膜外腹腔镜下精索静脉高位结扎术是安全、有效的手术方法,操作空间较常规腹腔镜精索静脉高位结扎术更小,难度更大,但其较常规腹腔镜精索静脉高位结扎术更加微创,不干扰腹腔,无腹腔内并发症,为微创外科时代腹腔镜下治疗VC提供了新的手术路径。
Objective To investigate the feasibility of transperitoneal laparoscopic high varicocele ligation. Methods From April 2010 to September 2016, space was established by blunt finger separation using epidural anesthesia or general anesthesia. All patients underwent laparoscopic surgery with complete laparoscopic surgery for 78 cases of varicocele (VC) . Results All the 78 operations were successful. The operation time was (60.1 ± 30.5) min, the intraoperative blood loss (10.2 ± 6.2) m L, postoperative hospital stay (3.5 ± 1.2) d, intraoperative and postoperative No complications, no obvious surgical scar on the abdominal wall. Conclusion The extraperitoneal laparoscopic varicocele ligation is a safe and effective surgical method. The operating space is smaller and more difficult than the conventional laparoscopic varicocele ligation. However, compared with conventional laparoscopic varicocele High ligation more minimally invasive, does not interfere with the abdominal cavity, no intra-abdominal complications, minimally invasive surgical Laparoscopic treatment of VC provides a new surgical path.