Laparoendoscopic single-site surgery varicocelectomy versus conventional laparoscopic varicocele ligation: A meta-analysis.
Objective To perform a meta-analysis of data from available published studies comparing laparoendoscopic single-site surgery varicocelectomy (LESSV) with conventional transperitoneal laparoscopic varicocele ligation. Methods A comprehensive data search was performed in PubMed and Embase to identify randomized controlled trials and comparative studies that compared the two surgical approaches for the treatment of varicoceles. Results Six studies were included in the meta-analysis. LESSV required a significantly longer operative time than conventional laparoscopic varicocelectomy but was associated with significantly less postoperative pain at 6 h and 24 h, a shorter recovery time and greater patient satisfaction with the cosmetic outcome. There was no difference between the two surgical approaches in terms of postoperative semen quality or the incidence of complications. Conclusion These data suggest that LESSV offers a well tolerated and efficient alternative to conventional laparoscopic varicocelectomy, with less pain, a shorter recovery time and better cosmetic satisfaction. Further well-designed studies are required to confirm these findings and update the results of this meta-analysis.
1 Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Mingchao
M
Li
2 Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Zhengyun
Z
Wang
1 Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hao
H
Li
D000005:Abdomen / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D061646:Operative Time; D010149:Postoperative Pain; D017060:Patient Satisfaction; D055101:Semen Analysis; D013085:Spermatic Cord / Q000601:surgery*; D014646:Varicocele / Q000601:surgery*
Laparoscopy; laparoendoscopic single-site surgery; meta-analysis; varicocelectomy
BJU Int. 2009 Jul;104(2):230-3
19220266
Asian J Androl. 2012 Nov;14(6):897-9
23064683
Surg Endosc. 2013 Oct;27(10):3646-52
23549770
Eur Urol. 2011 Mar;59(3):455-61
21196073
BMJ. 2009 Jul 21;339:b2535
19622551
J Eval Clin Pract. 2012 Feb;18(1):12-8
20698919
Arch Esp Urol. 1988 Jan-Feb;41(1):15-6
3369885
Afr J Paediatr Surg. 2014 Jul-Sep;11(3):201-5
25047308
J Endourol. 2002 Mar;16(2):107-10
11962551
J Endourol. 2014 May;28(5):513-6
24147752
J Endourol. 2014 Feb;28(2):159-64
23961951
Pediatr Surg Int. 2012 Mar;28(3):281-6
21994078
J Urol. 2011 Oct;186(4 Suppl):1653-7
21855906
Surg Endosc. 2012 Apr;26(4):1056-62
22083325
Int J Urol. 2011 Mar;18(3):250-4
21332819
J Pediatr Urol. 2013 Aug;9(4):458-63
23498876