Liao Bing,Zeng Defeng.. Efficacy of laparoscopic highligation of spermatic cord on testicular development in children with varicocele.[J].Journal of Clinical Pediatric Surgery,,17():845-849.
Efficacy of laparoscopic highligation of spermatic cord on testicular development in children with varicocele.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 11
Page:
845-849
Column:
论著
Date of publication:
2018-11-20
- Keywords:
- ; Laparoscopes; High Ligation of Spermatic Vessels; Varicocele; Testis/GD
- Document code:
- A
- Abstract:
- ObjectiveTo explore the efficacy of laparoscopic highligation of spermatic cord on testicular development in children with varicocele.MethodsA total of 52 children with varicocele underwent laparoscopic highligation of spermatic cord and were followed up for 1 year.Summarize clinical data at pre and postoperation:maximal diameter of varicose veins,volume of testes;blood supply and blood flow of testis.Patient recovery and postoperative complications were recorded.ResultsAll operations were completed successfully.The average operative duration was (40.32±11.06) min by threehole laparoscopy and (25.25±8.55) min by transumbilical singleport laparoscopy.The varicose veins of scrotum decreased significantly at day 1 postoperation.No postoperative complications such as swelling of scrotum,atrophy of testis and hydrocele of tunica vaginalis occurred.There was no recurrence during followups.CDFI color Doppler ultrasound indicated that testicular blood flow was excellent and echoes were uniform.As compared with preoperative level,diameter of varicocele decreased significantly at 1-6 months (P<0.05) and left testicular volume expanded significantly at 3-6 months postoperation.From preoperative to 3 months postoperation,volume of right testis was significantly greater than that of left counterpart (P<0.05).ConclusionLaparoscopic highligation of spermatic cord is both safe and reliable for varicocele.And the possibility of testicular atrophy is low.Transumbilical singleport laparoscopy is simple so that it is worthy of clinical popularization.
Last Update:
2018-11-23