CAJ | 학술논문

目的探讨经脐Mini纯单孔腹腔镜术治疗原发性青少年精索静脉曲张的优越性.方法对78例原发性青少年精索静脉曲张患者均行经脐Mini纯单孔腹腔镜下Palomo手术治疗,观察疗效,总结手术时间、出血量、并发症及住院时间.所有患者术后随访6 ～18个月.结果 78例手术均获成功,疗效满意,手术时间5 ～ 15 min,平均8 min,术中出血量1～5 mL,平均1.5 mL,术后住院时间2～4d,平均3d.术中、术后无并发症.随访6～18个月复查精液常规95％正常.结论经脐Mini纯单孔腹腔镜下Palomo术治疗原发性青少年精索静脉曲张有明显优越性,具有推广应用价值.
목적 탐토경제Mini순단공복강경술치료원발성청소년정색정맥곡장적우월성.방법 대78례원발성청소년정색정맥곡장환자균행경제Mini순단공복강경하Palomo수술치료,관찰료효,총결수술시간、출혈량、병발증급주원시간.소유환자술후수방6 ～18개월.결과 78례수술균획성공,료효만의,수술시간5 ～ 15 min,평균8 min,술중출혈량1～5 mL,평균1.5 mL,술후주원시간2～4d,평균3d.술중、술후무병발증.수방6～18개월복사정액상규95％정상.결론 경제Mini순단공복강경하Palomo술치료원발성청소년정색정맥곡장유명현우월성,구유추엄응용개치.
Objective To evaluate the clinical superiority of transumbilical mini pure single-port laparoscopic Palomo's surgery on the treatment of primary teenage varicocele.Methods All operations were successfully completed using mini pure single-port laparoscopic Palomo's surgery.Its clinical effects were evaluated by the operative time,blood loss volume,intra-or post-operative complications,and hospital stay.Six to eighteen months after surgery,follow-up was made in 78 patients.Results All the operations were successful.The operation time was 5-15 (mean 8) minutes,the intra-operative loss blood was 1-5 (mean 1.5) mL,and the post-operative hospital stay was 2-4 (mean 3) days.No intra-operative or post-operative complications happened.Sperm analysis of 95％ patients came back to normal in 6-18 months.Conclusions The transumbilical mini pure single-port laparoscopic Palomo's technique has more obvious superiority and it is worthy of clinical application and generalized widely.