【摘要】 目的 :改变泌尿外科患者需入院→开刀→抗感染→拆线→出院等传统治疗模式 ,改变常规腹腔镜手术需全麻、费用高、体内残留金属异物的状况。方法 :采用局麻 ,在门诊应用直径 4mm微型腹腔镜及丝线作精索内静脉高位结扎治疗精索静脉曲张 12 7例。结果 :12 7例全部完成手术 ,术时未见明显出血及脏器损伤 ,无一例中转手术。术后随访 10 6例 ,精索静脉曲张复发率为 7.5 %。结论 :本术式是一种医患均乐意接受的新术式 ,可作为当天外科的一个项目。更多还原

【Abstract】 Purpose: An increasing number of operative procedures in urology can be performed by laparoscopy. We report our experience with mini laparoscopic spermatic veins ligation by silk suture, which is a typical operative in outpatients of varicocele and a simple technique for suture ligation. Methods: Mini laparoscopic spermatic vein ligation by silk suture was performed in 127 outpatients (12 to 37 years olds,28 bilateral and 99 unilateral) since Nov.1993. With the patient under local anesthesia the pneumoperitoneum was induecd , three 4 mm trocars were inserted, the spermatic veins were ligtured by silk suture and the retroperitoneum was sutured by silk suture. Results: All operations were completed as planned under local anesthesia. Blood loss was more minimal and there were no intraoperative or postoperative complications. Mean postoperative hospital stay is 2 hours. Conclusions: Mini laparoscopic spermatic vein ligation is feasible and minimally invasive. This procedure can be performed in outpatients and it′s an effective and simple treatment for varicocele. It′s a technique of Day Surgery.更多还原