Laparoscopic surgery versus interventional operation for the treatment of varicocele:a systematic evaluation
10.3969/j.issn.1008-794X.2024.11.006
- VernacularTitle:腹腔镜手术与介入治疗精索静脉曲张的系统评价
- Author:
Xia SHENG
1
;
Yongjian YIN
;
Jian ZHENG
;
Zhenghong ZHANG
Author Information
1. 400055 重庆 重庆市巴南区第二人民医院泌尿外科
- Keywords:
intervention;
interventional embolization;
laparoscope;
varicocele;
systematic evaluation
- From:
Journal of Interventional Radiology
2024;33(11):1186-1191
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the efficacy and safety of laparoscopic surgery and interventional embolization for varicocele.Methods A computerized retrieval of academic papers concerning the laparoscopic surgery and interventional embolization for varicocele from the databases of Weipu Science and technology periodical database,CNKI science and technology core periodical database by using"interventional""laparoscopy"and"varicocele"as keywords,as well as from PubMed database by using"interventional embolization""varicocele""laparoscope"as keywords was conducted.The retrieval time period was from the establishment of the database to June 2023.The semen concentration,sperm survival rate,pregnancy rate,complications and length of hospital stay were compared between laparoscopic surgery and interventional embolization.RevMan 5.4 software was used to make meta-analysis of the results.Results A total of 8 articles were included in this analysis.There were statistically significant differences in the length of hospital stay(P＜0.000 1)and medical cost(P=0.005)between interventional embolization group and laparoscopic surgery group,while no statistically significant differences in the semen quality(P=0.85),pregnancy rate(P=0.20),sperm survival rate(P=0.28),complications(P=0.55)existed between the two groups.The difference in surgical effect of different degrees of varicocele between the two groups was not statistically significant(P=0.59).Conclusion For the treatment of varicocele,laparoscopic surgery and interventional embolization have the similar effectiveness and safety,while the length of hospital stay and the medical cost in the interventional embolization group are significantly lower than those in the laparoscopic surgery group.
