Efficacy of high selective laparoscopic ligation of spermatic vein for the treatment of varicocele
Lai Xiaodong1, Shao Jingwen2, Guo Gang3, Jiang Wei1, Zheng Ruqiang1, Lu Jiru1
1Department of Urology, People's Hospital of Dongying City, Shandong 257091, China; 2Department of Urology, Jingmen First People's Hospital; 3Chinese People's Liberation Army General Hospital
Abstract：Objective: To evaluate the clinical efficacy and safety of high selective laparoscopic ligation of spermatic vein for the treatment of varicocele. Methods: A retrospective analysis was performed on totally 60 cases of primary varicocele above grade Ⅱ in our hospital. Group A (n=30) underwent high selective laparoscopic ligation of spermatic vein, while spermatic arteries were preserved. Group B (n=30) underwent laparoscopic cluster ligation of spermatic vein. The operation time, postoperative complications, recurrence rate, and sperm quality improvement were analyzed statistically. Results: All 60 cases operated successfully, and were followed up for 6 months after operation. The operation time of two groups was (41.3±9.8) min and (25.7±8.1) min respectively. The incidence of postoperative complications in two groups was 3.3% (1/30) and 13.3% (4/30) respectively. The improvement of semen quality in 6 months after operation in two groups was 73.3% (22/30) and 60% (18/30), respectively. There were significant differences in above indexes between two groups (P＜0.05). The recurrence rate of two groups was 6.7% (2/30) and 3.3% (1/30) respectively, and there was no significant difference between two groups (P>0.05). Conclusions: High selective laparoscopic ligation of spermatic vein with spermatic artery preservation requires shorter operation time, has low incidence of postoperative complications and high improvement rate of semen quality, while leading to no more recurrence rate, and is worth to be extended in clinics.
来晓东,邵靖雯,郭刚,蒋伟,郑汝强,路继儒. 高选择性腹腔镜精索内静脉结扎术治疗精索静脉曲张的疗效研究[J]. 微创泌尿外科杂志, 2018, 7(s1): 34-.
Lai Xiaodong, Shao Jingwen, Guo Gang, Jiang Wei, Zheng Ruqiang, Lu Jiru. Efficacy of high selective laparoscopic ligation of spermatic vein for the treatment of varicocele. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(s1): 34-.
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