使用视频望远镜操作显微镜 (VITOM) 望远镜进行的微观下静脉静脉切除术:结果分析
Mohammad Hifzi Mohd Hashim1, Xeng Inn Fam1, Mohammad Hasif Azizi1
1Urology Unit, Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM), Wilayah Persekutuan Kuala Lumpur, Malaysia.
Translational andrology and urology
|May 9, 2024
概括
使用视频望远镜操作显微镜 (VITOM) 进行显微镜下 inguinal varicocelectomy 是一种安全有效的治疗 varicocele. 这种方法导致23名患者没有复发或并发症,从而消除了手术前症状.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技巧 手术技巧
- 最少侵入性的手术
背景情况:
- 传统的静脉修复方法带有诸如水细胞形成,丸动脉绑定和复发等风险.
- 显微镜手术提供了增强的可视化,用于精确识别和保护关键的血管结构.
研究的目的:
- 评估使用视频望远镜操作显微镜 (VITOM) 进行的显微镜下 inguinal 静脉动脉切除术的结果.
主要方法:
- 对23名患者 (18-58岁) 进行了回顾性审查,这些患者患有症状性静脉 (右侧,左侧或双侧),在2019-2021年间接受了手术.
- 诊断得到确认,经过超声波测量丸大小.
- 通过使用VITOM系统在脊髓麻醉下由一名外科医生进行的手术;平均手术时间为1小时.
主要成果:
- 所有23名患者都经历了症状缓解 (疼痛,胀),并且手术后伤口愈合良好.
- 在随访期间,没有报告发生静脉复发,丸疼痛,水细胞形成或性功能障碍的情况.
- 患者在手术后一天被释放,并发症最小.
结论:
- 使用VITOM望远镜进行的微观下静脉动脉切除术是治疗静脉动脉的可行且有效的外科选择.
- 这种技术的成功率很高,患者的治疗结果很好,并发症率很低.
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