Efficacy of high selective laparoscopic ligation of spermatic vein for the treatment of varicocele

Lai Xiaodong; Shao Jingwen; Guo Gang; Jiang Wei; Zheng Ruqiang; Lu Jiru

doi:10.3969/j.issn.2095-5146.2015.03.004

Abstract：Objective:To evaluate the clinical efficacy and safety of high selective laparoscopic ligation of sper-matic vein for the treatment of varicocele.Methods:A retrospective analysis was performed on totally 60 cases of primary varicocele above grade Ⅱ in our hospital.Group A (n =30)underwent high selective laparoscopic ligation of spermatic vein,while spermatic arteries were preserved.Group B (n =30)underwent laparoscopic cluster ligation of spermatic vein.The operation time,postoperative complications,recurrence rate,and sperm quality improvement were analyzed statistically.Results:All 60 cases operated successfully,and were followed up for 6 months after op-eration.The operation time of two groups was (41.3±9.8)min and (25.7±8.1)min respectively.The incidence of postoperative complications in two groups was 3.3% (1/30)and 13.3% (4/30)respectively.The improvement of semen quality in 6 months after operation in two groups was 73.3% (22/30)and 60% (18/30),respectively.There were significant differences in above indexes between two groups (P <0.05).The recurrence rate of two groups was 6.7% (2/30)and 3.3% (1/30)respectively,and there was no significant difference between two groups (P >0.05).Conclusions:High selective laparoscopic ligation of spermatic vein with spermatic artery preservation requires shorter operation time,has low incidence of postoperative complications and high improvement rate of semen quali-ty,while leading to no more recurrence rate,and is worth to be extended in clinics.