[Needle laparoscopic varicocelectomy].
OBJECTIVE
We evaluated our method and effects of needle laparoscopic varicocelectomy for the treatment of varicocele.


METHODS
72 patients (105 lateral) diagnosed varicocele were performed laparoscopic varicocelectomy under epidural combined intravenous anesthesia from Feb, 2003 to Apr, 2005. Two 2 mm incisions and one 5 mm incision were made on the midline of lower abdomen, by which two 2 mm trocars and one 5 mm trocar were introduced. Vessel-sealing device (Ligasure) was used to seal the internal spermatic veins.


RESULTS
All operations were completed successfully. Mean operation time was 15 minutes unilateral and 21 minutes bilateral. The patients were hospitalized for 3 to 5 days after procedure. Follow-up was scheduled for 6 to 12 months and there was no recurrence.


CONCLUSIONS
Needle laparoscopic varicocelectomy gives favorable effect with minimal invasion, rapid recovery, which is the best choice for the treatment of varicocele.
Xie
Wen-Lian
WL
Department of Urology, the Second Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510120, China. wenlianxie@yahoo.com
Huang
Jian
J
Han
Jin-li
JL
Lin
Tian-Xin
TX
Xu
Ke-Wei
KW
Guo
Zheng-Hui
ZH
Jiang
Chun
C
D000293:Adolescent; D000328:Adult; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008026:Ligation / Q000379:methods; D008297:Male; D008875:Middle Aged; D013085:Spermatic Cord / Q000098:blood supply / Q000601:surgery; D014646:Varicocele / Q000601:surgery*