[Comparison between laparoscopic and open surgical high ligation of the internal spermatic vein].
OBJECTIVE
To compare the effects of laparoscope-guided high ligation of the internal spermatic vein and open surgery in the treatment of varicocele.


METHODS
We collected the clinical data of 85 cases of varicocele treated by laparoscope-guided high ligation of the internal spermatic vein (the laparoscopic group) and another 47 that underwent open surgery (the open group) , and compared the results of treatment between the 2 groups.


RESULTS
The operations were successful in all the cases. In the laparoscopic group, the mean operation time was (32.0 +/- 5.9) minutes, with little bleeding, and the mean postoperative hospital stay was (3.0 +/- 1.6) days, with 3 cases (3.5%) of recurrence during the 3-12 months follow-up. In the open group, the mean operation time was (46.0 +/-7.2) minutes and the mean postoperative hospital stay was (7.0 +/- 3.7) days, with 5 cases (10.6%) of recurrence during the same length of follow-up.


CONCLUSIONS
Laparoscopic method for the treatment of varicocele is obviously superior to open surgery for its advantages of minimal invasiveness, fast recovery, sure effectiveness, few complications and low recurrence, particularly for those with bilateral varicocele who experienced recurrence after open surgery.
Liu
Qi-Zhong
QZ
Department of Urology, Central Hospital of Luohe, Luohe, Henan 462000, China. liuqizhong@163.com
Tian
Kai
K
Zhang
Yue-Xi
YX
Wang
Yi-Lin
YL
Zhao
Ping-Yu
PY
D000293:Adolescent; D000328:Adult; D006801:Humans; D010535:Laparoscopy; D008026:Ligation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014646:Varicocele / Q000601:surgery*; D055815:Young Adult