Clinical efficacy of 3D laparoscopic testicle artery sparing varicocelectomy

doi:10.3877/cma.j.issn.1674-3253.2023.03.014

Abstract

Abstract:

Objective

To evaluate the clinical efficacy and value of 3D laparoscopic testicle artery sparing varicocelectomy.

Methods

The clinical data from varicocele patients in Shengjing Hospital of China Medical University from 2018 to 2021 were analyzed retrospectively. 27 cases admitted in Group A who were operated by 3D laparoscopic testicle artery sparing varicocelectomy, 24 cases admitted in Group B who operated by 3D laparoscopic varicocelectomy without sparing testicle artery. 31 cases admitted in Group C who operated by microscopic varicocelectomy. Operational blood loss and time, hospital stay, sperm vitality, sperm concentration, sperm count, recurrence, relevant postoperative complications (epididymitis, hydrocele, testicular atrophy) were observed and compared among three groups.

Results

Intraoperative blood loss in Group C was significantly less than the other two groups (P<0.05). The operative duration of Group A and B were both shorter than Group C (P<0.05). No significant difference was found in hospital stay among three groups (P>0.05). The sperm vitality, sperm concentration and sperm count of all groups were improved compared to the preoperative (P<0.05). Sperm vitality of Group A was significantly higher than the other two groups (P<0.05). There was no significant difference in the recurrence and complications between Group A and the other two groups (P>0.05).

Conclusions

3D laparoscopic testicle artery sparing varicocelectomy shown excellent clinical efficiency and worth widely used in the clinic.

Key words: Varicocele, 3D laparoscopic system, Microscope, Testicle artery, Varicocelectomy

Jianfeng Ye, Runbang Wang, Mo Zhang. Clinical efficacy of 3D laparoscopic testicle artery sparing varicocelectomy[J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(03): 265-269.

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Figures/Tables 5

References 17

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组别	例数	年龄[岁，(±s)]	临床分级(例）			术前精索静脉直径[cm，(±s)]
组别	例数	年龄[岁，(±s)]	Ⅰ	Ⅱ	Ⅲ	术前精索静脉直径[cm，(±s)]
A	27	27±6	1	22	4	0.38±0.27
B	24	24±5	2	18	4	0.32±0.07
C	31	25±6	1	24	6	0.32±0.06
统计值		F=1.216^*	χ²=0.206^*			F=1.397^*

组别	例数	年龄[岁，(±s)]	临床分级(例）			术前精索静脉直径[cm，(±s)]
组别	例数	年龄[岁，(±s)]	Ⅰ	Ⅱ	Ⅲ	术前精索静脉直径[cm，(±s)]
A	27	27±6	1	22	4	0.38±0.27
B	24	24±5	2	18	4	0.32±0.07
C	31	25±6	1	24	6	0.32±0.06
统计值		F=1.216^*	χ²=0.206^*			F=1.397^*

组别	例数	手术出血量(ml)	手术时间(min)	住院时间(d）
A	27	21.5±2.3^a	28±12^a	3.9±1.7
B	24	16.4±5.6 ^a	22±6^a	3.6±1.8
C	31	13.6±6.4	44±10	4.5±2.2
F值		25.100^*	40.810^*	1.619^**

组别	例数	手术出血量(ml)	手术时间(min)	住院时间(d）
A	27	21.5±2.3^a	28±12^a	3.9±1.7
B	24	16.4±5.6 ^a	22±6^a	3.6±1.8
C	31	13.6±6.4	44±10	4.5±2.2
F值		25.100^*	40.810^*	1.619^**

组别	例数	时间	精子活力（a+b%）	Z值	精子浓度（×10⁶/ml）	Z值	精子数量（×10⁶）	Z值
A	27	术前	34（22，51）	-4.372^*	56（25，78）	-4.084^*	217（75，408）	-4.012^*
A	27	术后	57（42，62）	-4.372^*	157（78，173）	-4.084^*	659（382，776）	-4.012^*
B	24	术前	26（17，48）	-2.190^**	37（13，90）	-2.400^**	147（39，250）	-3.171^**
B	24	术后	43（34，50）^a	-2.190^**	71（51，84）^a	-2.400^**	269（197，372）^a	-3.171^**
C	31	术前	30（18，39）	-3.600^*	44（10，83）	-3.466^*	183（30，284）	-4.042^*
C	31	术后	44（38，52） ^a	-3.600^*	113（94，133）	-3.466^*	373（290，418） ^a	-4.042^*

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