摘要
目的探讨经脐单孔腹腔镜下Palomo术式治疗小儿精索静脉曲张的疗效和安全性。方法 2014年3月至2015年5月我们收治小儿精索静脉曲张21例,均采取经脐单孔腹腔镜下精索血管高位集束结扎术。术中经脐直视下置入5mm Trocar并置入单孔不带操作孔的腹腔镜,于腹腔镜下经皮穿刺套管钩针带2—0丝线,穿过后腹膜精索血管束后再将丝线带出皮肤,于皮肤外打结并结扎两道(Palomo法结扎精索血管束,不必分离精索内动脉)。结果 21例均手术成功,其中1例因术中出血增加一个操作孔止血,全组病例手术时间(23.6±8.5)min,术后住院2~3d,平均(2.26±0.37)d,随访6~18个月,无一例复发。结论经脐单孔法腹腔镜Palomo术式治疗小儿精索静脉曲张创伤小,美容效果好,操作简单,不增加额外费用,疗效满意,值得推广。
Objective To explore the efficacies and feasibility of transumbilical single-port laparoscopic surgery via Palomo procedure of high ligation for spermatic vein in children. Methods From March 2014 to May 2015,21 varicocele children were selected for high ligation of internal cord vein under transumbilical sin-gle port laparoscope.The clinical data were analyzed with regards to operative duration,postoperative hospital stay,recurrence and operative complications. Results All surgical procedures were successfully completed. The average duration of single -side operation was 23.6 ±8.5 min and the average hospitalization time 2.26 ± 0.37 days.Clinical improvements were observed in all patients.During postoperative follow -ups,their symp-toms significantly improved.And there was no occurrence of such complications as scrotum edema or testicular atrophy. Conclusions Transumbilical single -port laparoscopic high ligation of spermatic vein for varicoceles is both feasible and safe in children.It offers the advantages of rapid recovery,less pain and effectiveness so that it is worthy of clinical popularization.
作者
李富江
段于河
苏南
鹿洪亭
Li Fujiang Duan Yuhe Su Nan Lu Hongting(Department of Pediatric surgery, Affiliated Hospital, Qingdao University, Qingdao 266003, Chin)
出处
《临床小儿外科杂志》
CAS
2017年第1期77-79,104,共4页
Journal of Clinical Pediatric Surgery
作者简介
通信作者：鹿洪亭，E-mail：13336398899@126．com.
