Soonchunhyang Med Sci.  2011 Jun;17(1):21-24.

The Efficacy, Safety and Effectiveness of the Laparoscopic Varicocelectomy: Comparative Study of 2 Trocars and 3 Trocars

• Kim DS
• Lee CH
• Jeon YS
• Lee NK

Abstract

OBJECTIVE
Varicocelectomy can be accomplished using a variety of approaches, including retroperitoneal, transinguinal, subinguinal or scrotal approach and there are advantage and disadvatage, respectively. The goal of this study is to evaluate the efficacy, safety and effect of the laparoscopic varicocelectomy and compare 2 trocars laparoscopic technique with 3 trocars.
METHODS
Between March 2003 and December 2007, 46 patients with varicocele were treated using 3 trocars (group A) or 2 trocars (group B) laparoscopic varicocelectomy. Data regarding operative time, time of vein ligation, hospital stay, recurrence rate and complications of each procedure were retrospectively evaluated.
RESULTS
Of the 46 patients 39 with left side varicocele constituted the population of the present study; the others, with bilateral varicocele, were excluded. No significant differences were found in terms of mean operative time, mean time of vein ligation, mean hospital stay and morbidity between group A and B.
CONCLUSION
Laparoscopic varicocelectomy is feasible, safety and effective surgical technique. Compared with 3 trocars, 2 trocars laparoscopic varicocelctomy results in similar operative and postoperative outcomes. In addition, it is cost-effective and cosmetic.

Keyword

Varicocele; Laparoscopy; Surgey

MeSH Terms

Cosmetics
Humans
Imidazoles
Laparoscopy
Length of Stay
Ligation
Nitro Compounds
Operative Time
Recurrence
Retrospective Studies
Surgical Instruments
Varicocele
Veins
Cosmetics
Imidazoles
Nitro Compounds