直近一年間の累計
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ダウンロード数 : ?
ID 109543
著者
石橋, 広樹 Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital|Department of Pediatric Surgery, National Kagawa Children’s Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
森, 大樹 Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
矢田, 圭吾 Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital KAKEN研究者をさがす
島田, 光生 Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
ソガミ, トモコ Department of Pediatric Surgery, National Kagawa Children’s Hospital
ニイ, アキラ Department of Pediatric Surgery, National Kagawa Children’s Hospital
キーワード
Laparoscopic Palomo
Lymphatic sparing
Dye
children
資料タイプ
学術雑誌論文
抄録
The ideal method for varicocelectomy in children remains controversial. We present
our experience with dye-assisted lymphatic-sparing laparoscopic varicocelectomy (LSLV) in children, which overcomes the limitations of previously described techniques.
Materials and methods : Five consecutive LSLVs were performed over a period of three
years on children with a mean age of twelve years. The varicocele grade was three in one
case and grade 2 in four cases, respectively. A left subdartos injection of 2 ml of Indigo carmine dye was done using a 25-gauge needle at ten minutes before an operation. A scrotal injection of lymphatic dye was utilized to spare at least one lymphatic and the remaining spermatic vessels were divided. Results : Lymphatic-sparing was accomplished in all cases.
No peri-operative complication was noted.We spared one lymphatic channel in one patient
(20%) and two channels in four patients (80%). There were no cases of hydrocele or
residual varicocele. Conclusion : Dye-assisted LSLV is easily accomplished with an excellent surgical outcome and sparing one or two lymphatics appears to be sufficient to avoid secondary hydrocele.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
61
1-2
開始ページ
151
終了ページ
155
並び順
151
発行日
2014-02
EDB ID
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院