title: [Comparison between laparoscopic and open surgical high ligation of the internal spermatic vein].
abstract: 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.
authors.affiliation: Department of Urology, Central Hospital of Luohe, Luohe, Henan 462000, China. liuqizhong@163.com
authors.forename: Qi-Zhong
authors.initials: QZ
authors.lastname: Liu
authors.forename: Kai
authors.initials: K
authors.lastname: Tian
authors.forename: Yue-Xi
authors.initials: YX
authors.lastname: Zhang
authors.forename: Yi-Lin
authors.initials: YL
authors.lastname: Wang
authors.forename: Ping-Yu
authors.initials: PY
authors.lastname: Zhao
mesh_terms: 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