Comparison of the Outcomes of Laparoscopic Varicocelectomy and Microscopic Varicocelectomy in Adolescence
Abstract: Objective: To compare curative effect between microscopic and laparoscopic approach for treatment of varicocele. Method: We retrospectively analyzed 71 adolescence varicocele patients after treatment follow-up data. 39 cases underwent laparoscopic high ligation of spermatic vein (laparoscopic group). 32 patients received ligation of varicocele group under the microscope (microscopy group). The semen quality, hormone levels and testicular volumes of these two groups of patients before and after the operation, operation time, hospitalization days and cost were compared. Results: All patients were successfully completed the operation. Laparoscopic group compared with microscope group operation time is obviously shortened (85.94 + 20.44VS39.00 + 9.69, P < 0.05). There was no statistically significant difference of postoperative hospital stay (P > 0.05), but the cost was significantly increased (4866 + 541.45VS7820 + 906.21, P < 0.05). Compared with preoperative semen quality, postoperative semen quality of these two groups of patients showed no statistical significance. Sperm density, sperm survival rate, A + B grade sperm significantly improved (P < 0.05). In the laparoscopic group after operation, 2 cases (5.1%) of recurrence, 1 case (2.6%) of patients with epididymitis; 2 cases (5.1%) clinical symptoms persisted and 2 cases (5.1%) occurred scrotal edema. However, no recurrence, epididymitis, scrotal edema in the microscope group after operation, but 1 case (3.1%) of patients with persistent symptoms. Conclusion: Most of the youth semen quality of patients with varicocele has affected; early operation can restore the semen quality or decrease the damage level of semen quality. Laparoscopic and microscope to treat varicocele were minimally invasive operation. They have the characteristics of small trauma, good curative effect, but the microsurgical operation has the advantages of low cost, lower postoperative recurrence rate and fewer complications characteristics.
文章引用: 孙广海 , 刘萃龙 , 吴意光 , 赵豫波 , 徐衍盛 , 周茂军 , 王 毅 , 王希友 , 关维民 (2015) 腹腔镜与显微镜下治疗青年精索静脉曲张疗效分析。 外科， 4， 13-19. doi: 10.12677/HJS.2015.42003
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