吲哚菁绿在腹腔镜帕洛莫技术中的应用:一项比较研究。

S Monje Fuente, B Fernández Bautista, M D Blanco Verdú, I Bada Bosch, R Ortiz Rodríguez, L Burgos Lucena, J C De Agustín, J M Angulo Madero
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引用次数: 0

摘要

目的探讨在腹腔镜帕洛莫技术中使用吲哚菁绿进行淋巴疏通是否能降低术后鞘膜积液的发生率:对2008年至2023年期间接受腹腔镜帕洛莫技术治疗的精索静脉曲张患者进行了一项队列比较研究。根据是否进行荧光淋巴造影(睾丸内吲哚菁绿)将患者分为两组。研究记录了流行病学、手术和临床数据以及并发症。使用 SPSS 软件进行了假设检验:共纳入了 30 名通过腹腔镜帕洛莫技术接受精索静脉曲张手术的患者。他们被分为两组--淋巴管疏通组(13 人)和精索血管结扎不疏通组(17 人)。手术平均年龄为14岁。无淋巴管疏通组有 5 例术后鞘膜积液。其中 1 例需要手术治疗鞘膜积液。淋巴造影组没有发现鞘膜积液病例。差异有统计学意义(P= 0.032)。在手术时间和平均住院时间方面,差异无统计学意义。没有复发、术后睾丸萎缩或吲哚青绿相关并发症的记录。平均随访时间为 11.4 个月:结论:通过腹腔镜帕洛莫技术治疗精索静脉曲张时使用吲哚菁绿进行淋巴疏通,可显著降低术后鞘膜积液的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Usefulness of indocyanine green in the laparoscopic Palomo technique: a comparative study.

Objective: To find out whether the use of indocyanine green for lymphatic sparing in the laparoscopic Palomo technique reduces the incidence of postoperative hydrocele.

Materials and methods: A comparative cohort study of varicocele patients treated with the laparoscopic Palomo technique from 2008 to 2023 was carried out. Patients were divided into two groups according to whether fluorescence lymphography (intratesticular indocyanine green) had been performed or not. Epidemiological, surgical, and clinical data, as well as complications, were recorded. A hypothesis test was conducted using the SPSS software.

Results: 30 patients undergoing varicocele surgery through the laparoscopic Palomo technique were included. They were divided into two groups -lymphatic sparing (n= 13) vs. spermatic vessel ligation without sparing (n= 17). Mean age at surgery was 14 years. 5 cases of postoperative hydrocele were identified in the no lymphatic sparing group. 1 of them required surgery for hydrocele treatment. No hydrocele cases were noted in the lymphography group. The difference was statistically significant (p= 0.032). There were no statistically significant differences in terms of operating times or mean hospital stay. No recurrences, postoperative testicular atrophies, or indocyanine-green-related complications were recorded. Mean follow-up was 11.4 months.

Conclusions: The use of indocyanine green for lymphatic sparing in the treatment of varicocele through the laparoscopic Palomo technique significantly reduces the incidence of postoperative hydrocele.

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