Umbilical laparoendoscopic single-site varicocelectomy:the two-trocar technique
作者单位：Department of UrologyLuqiao HospitalTaizhou Enze Medical Center of Zhejiang Province
会议名称：《2014浙江省医学会男科学泌尿外科学学术年会》
会议日期：2014年
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
关 键 词：laparoendoscopic single-site surgery umbilical-LESS laparoscopy varicocelectomy varicocele
摘 要：Objective To investigate the safety and feasibility of umbilical laparoendoscopic single-site varicocelectomy using the two-trocar *** Between April 2011 and October 2012,18 consecutive patients underwent umbilical laparoendoscopic single-site varicocelectomy(U-LESV) using the two-trocar technique.16 cases on the left side and 2 cases on both *** approximately 1.0 to 1.5cm arc incision was made in the inferior edge of the umbilicus,then a Veress needle was directed through this skin incision and CO2 was *** the pressure of the pneumoperitoneum reached 15 mm Hg pressure,the primary 5-mm Trocar was punctured on the left side at the ends of the wound,followed by a 5-mm rigid 30 degree cystoscope introduced to allow the placement of the second 5-mm trocar under direct vision on the right side at the ends of the *** conventional laparoscopic grasper and scissors,a parallel incision was made in the posterior peritoneum 2to 3 cm proximal to the internal *** spermatic vessels were then dissected and two or three nonabsorbable polymer Hem-o-lok clips were applied on the spermatic vessels,both veins and *** All procedures were performed successfully and no complications *** mean operative time was 14.5 minutes(range,10 to 25minutes) on the left side and 32.5 minutes(range,30 to 35 minutes) on both *** mean postoperative hospital stay was 3.4 days(range,2 to 5 days).The postoperative follow-up was 3 to 24 months by physical examination and Doppler ultrasonography,and there was no evidence of varicocele recurrence or testicular *** Umbilical laparoendoscopic single-site varicocelectomy using the two-trocar technique is a feasible alternative to varicocele with the advantages of simple procedure,less trauma,quick recovery and improved cosmetic result.