Surgical treatment of varicosis of great saphenous vein by isolation of great saphenous vein through laparoscopy

Objective:To explore the feasibility and effect of the operation of isolation of great saphenous vein through laparoscopy.Methods:132 lower extremities with varicosis of great saphenous vein from 115 patients were divided into group A and group B randomly.The lower extremities in group A were performed the operation of isolation of great saphenous vein through laparoscopy,and those in group B received the traditional ligation and stripping of great varicose vein,and compared the effect of the two methods. Results:The mean length of incisions of group A was (2 0±0 6)cm, and that of group B was (8±1 1)cm, the mean length of incisions of group A was statistically shorter than that of group B(P0 05);the mean operation time of group A was (35±10)min, and that of group B was (90±17)min, the mean time of group A was significantly shorter than that of group B(P0 05).The symptoms of all cases in the two groups disappeared with no complication. All patients were followedup for l to 36 months,no patient in the group A recurred,and there were 6 patients in group B recurred(the recurrence rate was 6 06%). Conclusions: The operation of isolation of great saphenous vein through laparoscopy, by high ligation plus fulgerize the upper leg part and blocking all tributaries and communicating branch of its shank part, free from stripping great saphenous vein, belongs to minimally invasive operation,and has good curative effect with low recurrence rate.