目的探讨腹腔镜下精囊囊肿切除术的临床应用价值。方法9例接受腹腔镜下精囊囊肿切除的患者,年龄26~59岁,平均42岁;囊肿直径3~6 cm,平均4.2 cm;左侧4例,右侧5例;其中2例合并同侧肾脏缺如。麻醉后分别于左右髂前上棘内上方2 cm处置入trocar,继而行分离及囊肿切除。结果所有患者手术均成功,无中转开腹,手术时间30~110 min,平均60 min;术中出血量20~100 mL,平均30 mL;住院时间4~10 d,平均6 d;术后留置腹腔引流管1根,术后第二天引流量减少后拔除。所有患者术后均恢复顺利。随访6个月至7年,症状缓解,囊肿无复发,所有患者术后勃起及射精功能均无异常。结论腹腔镜下治疗精囊囊肿具有安全性高、效果好、创伤小、恢复快、切口美观等优势,可作为治疗精囊囊肿的首选方法。
ObjectiveTo investigate the clinical application value of laparoscopic resection of seminal vesicle cyst. MethodsIn the 9 patients undergoing laparoscopic removal of seminal vesicle cyst, the age was 26-59 years(the average was 42 years, and the diameter of the cyst was 3-6 cm(the average was 4.2 cm). The cysts of 4 cases and 5 cases were located at left and right side respectively. Two cases were complicated with agenesis of homolateral kidney. Trocars were inserted into 2 cm above the medial side of the left and right anterior superior iliac spine after anesthesia, then dissociation and cyst removal were conducted. ResultsThe operation was successful in all cases. No conversion to open operation occurred. The duration of operation was 20-110 min (the average was 60 min). The intraoperative blood loss was 20-100 mL (the average was 30 mL). The hospital stay was 4-10 days (the average was 6 days). Indwelling of abdominal drainage catheter was conducted after operation, then was removed at the second day after operation if the drainage volume decreased. All the patients obtained successful recovery. The duration of the follow-up was six months to 7 years. All the patients achieved remission without recrudesce of cyst, and the erectile and ejaculation function were normal after operation. ConclusionLaparoscopy has the advantages of high safety, good efficacy,less trauma, fast recovery and esthetic incision for treating seminal vesicle cyst, and can be the first therapeutic approach for seminal vesicle cyst.