Application of laparoscopic palomo operation in treatment childrenwith varicocele
10.3760/cma.j.issn.1008-6706.2010.13.008
- VernacularTitle:腹腔镜Palomo手术治疗精索静脉曲张34例
- Author:
Guojin ZHAO
;
Guoding WU
;
Xiaodong LI
- Publication Type:Journal Article
- Keywords:
Varicocele;
Laparoscopy;
Child
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(13):1744-1746
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the curative effect of laparoscopic Palomo operation compared with open inguinal varicocelectomy in children with varicocele, and testis development after treatment. Methods Data of 63 boys with varicocele were reviewed. The control group(n = 29) was underwent open inguinal varicocelectomy,the lap-aroscopy group(n =34) was underwent laparoscopic Palomo operation. The operation time,hospital stay,recurrence rate,and complications rate were compared between two groups. The boys in larparoscopy group were examined the diameter of spermatic vein and testicular volume before and after operation by ultrasound. All data were analyzed by SPSS 13.0 software. Results The hospital stays and recurrence rates and complications rates were significantly different between two groups (P < 0.05 ) , but the operation time in two groups had no statisticd difference (P > 0. 05 ). The diameters of spermatic vein in larparoscopy group were decreased significantly after operation (P < 0.01). The blood supply for testis didnt decrease after operation,the operative lateral testicular volume grew faster than the contra lateral,and reached almost the same volume. Conclusions Laparoscopic Paloma varicoelectomy was safe and simple, brings a better effect for children with varicocele than open inguinal varicocelectomy does. The operative lateral testis would a postoperative compensatory growth,no testis atrophy or hypogonadism occurs.
