目的 探讨经脐单部位腹腔镜治疗小儿阑尾炎的临床价值.方法 自2009年1月至2013年2月我们对38例阑尾炎患儿采取经脐部单部位切口（脐部正中置入10 mm Trocar,脐左及脐右分别置入5 mm Trocar）完成手术操作.结果 38例患儿手术均获成功,无...目的 探讨经脐单部位腹腔镜治疗小儿阑尾炎的临床价值.方法 自2009年1月至2013年2月我们对38例阑尾炎患儿采取经脐部单部位切口（脐部正中置入10 mm Trocar,脐左及脐右分别置入5 mm Trocar）完成手术操作.结果 38例患儿手术均获成功,无中转开腹及改变手术方式病例,平均手术时间为41.2（30~50）min,住院时间（4~7）d,平均5.3 d,术后随访1~3个月,无切口感染、腹腔残余感染、肠梗阻等并发症发生.结论 经脐单部位腹腔镜小儿阑尾切除术安全有效,技术可行,值得推广.展开更多
We have established a novel method named transumbilical two-port laparoscopic varicocele ligation （TTLVL） for varicocele, which is still needed to evaluate. In this study, 90 patients with left idiopathic symptomati...We have established a novel method named transumbilical two-port laparoscopic varicocele ligation （TTLVL） for varicocele, which is still needed to evaluate. In this study, 90 patients with left idiopathic symptomatic varicoceles of grades Ⅱ-Ⅲ according to the Dubin grading system were randomly assigned to TTLVL （n = 45） and conventional laparoscopic varicocele ligation （CLVL） （n = 45）. The demographic, intraoperative, postoperative, and follow-up data were recorded and compared between the two groups. All the procedures in the two groups were completed successfully with no intraoperative complications and no conversions to open surgery. No significant difference was found in the operative time, resuming ambulation, bowel recovery, postoperative hospital stay, and postoperative resolution of scrotal pain between the two groups （P 〉 0.05）. However, the postoperative mean visual analog pain scale scores for TTLVL group were all less at 24 h, 48 h, 72 h, and 7 days postoperatively compared to CLVL （P= 0.001, 0.010, 0.006, and 0.027, respectively）. The mean patient scar assessment questionnaire score in postoperative month 3 was 29.7 for TTLVL group compared with 32.1 for CLVL group （P 〈 0.001）. There was no testicular atrophy observed in both groups during the follow-up period. The study shows that TTLVL is a safe, feasible, and effective minimally invasive surgical alternative to CLVL for the treatment of varicocele. Compared with CLVL, TTLVL may decrease postoperative pain and improve the cosmetic outcomes.展开更多
文摘目的 探讨经脐单部位腹腔镜治疗小儿阑尾炎的临床价值.方法 自2009年1月至2013年2月我们对38例阑尾炎患儿采取经脐部单部位切口（脐部正中置入10 mm Trocar,脐左及脐右分别置入5 mm Trocar）完成手术操作.结果 38例患儿手术均获成功,无中转开腹及改变手术方式病例,平均手术时间为41.2（30~50）min,住院时间（4~7）d,平均5.3 d,术后随访1~3个月,无切口感染、腹腔残余感染、肠梗阻等并发症发生.结论 经脐单部位腹腔镜小儿阑尾切除术安全有效,技术可行,值得推广.
文摘We have established a novel method named transumbilical two-port laparoscopic varicocele ligation （TTLVL） for varicocele, which is still needed to evaluate. In this study, 90 patients with left idiopathic symptomatic varicoceles of grades Ⅱ-Ⅲ according to the Dubin grading system were randomly assigned to TTLVL （n = 45） and conventional laparoscopic varicocele ligation （CLVL） （n = 45）. The demographic, intraoperative, postoperative, and follow-up data were recorded and compared between the two groups. All the procedures in the two groups were completed successfully with no intraoperative complications and no conversions to open surgery. No significant difference was found in the operative time, resuming ambulation, bowel recovery, postoperative hospital stay, and postoperative resolution of scrotal pain between the two groups （P 〉 0.05）. However, the postoperative mean visual analog pain scale scores for TTLVL group were all less at 24 h, 48 h, 72 h, and 7 days postoperatively compared to CLVL （P= 0.001, 0.010, 0.006, and 0.027, respectively）. The mean patient scar assessment questionnaire score in postoperative month 3 was 29.7 for TTLVL group compared with 32.1 for CLVL group （P 〈 0.001）. There was no testicular atrophy observed in both groups during the follow-up period. The study shows that TTLVL is a safe, feasible, and effective minimally invasive surgical alternative to CLVL for the treatment of varicocele. Compared with CLVL, TTLVL may decrease postoperative pain and improve the cosmetic outcomes.
