Clinical observation of green laser resection of epididymal cysts under a new scrotal endoscope
Objective To investigate the safety and effectiveness of green laser epididymal cyst resection under a new type of scrotal endoscope.Methods Clinical data of 35 patients with uni-lateral epididymal cysts admitted to the urology department of Xuzhou Central Hospital from April 2021 to May 2022 were selected.All patients were randomly divided into two groups:the new scrotal endo-scopic green laser epididymal cyst resection group(group A,18 cases)and the open epididymal cyst resection group(group B,17 cases).The incision size,operation time,postoperative scrotal pain,postoperative scrotal edema time and postoperative hospital stay were analyzed.Results The operation was successfully completed in both groups.The surgical incision and visual analog pain score(VAS)of group A patients were lower than those of group B,and the differences were statistically significant(all P＜0.05).The postoperative scrotal edema in group A patients was milder than that in group B,and the difference was statistically significant(P＜0.05).There were no postoperative complications such as scrotal hematoma,scrotal infection,or delayed wound healing in both groups of patients.One month later,a follow-up examination of scrotal ultrasound revealed that one patient in group A had mild testicular hydrocele,and there was no progression of hydrocele after a 6-month follow-up.No epididy-mal cyst recurrence was observed in all patients.Conclusions The green laser epididymal cyst resec-tion under a new type of scrotal endoscope through the scrotum is safe and effective,with the character-istics of minimally invasive surgery,mild postoperative pain,and rapid disappearance of postoperative scrotal edema.It is suitable for clinical promotion and application.
NETL
NSTL
万方数据
维普
