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- W3031169077 abstract "Objectives To investigate the clinical value of laparoscopy in ligation of spermatic veins.Methods 157 patients diagnosed with varicocele were enrolled in the study.All cases were randomized into three groups:ligation of spermatic vessels group ( group A ),testicular artery sparing group ( group B ),testicular artery and lymph vessels sparing group ( group C ).The therapeutic effects after three different kinds of operation were evaluated by improvement of semen quality and complications related to operation.Results ①The quality of semen in all groups was improved after operation compared with that of before operation.Significant improvement of semen quality was found in group C when compared with group A.The quality of semen postoperatively was better in group B than in group A.However,no statistical difference was found between group C and group B.②The rate of hydrocele in group C was lowest,obviously lower than group A and group B.Although,the rate of hydrocele in group B was slightly lower than group A,no statistical difference could be found.The rates of testicular atrophy in group C and group B were lower than group A.When the recurrence rate were evaluated,group A,group B and group C showed similar results.Conclusions The rate of hydrocele can be reduced by sparing lymph vessels ligation of permatic veins.The quality of semen can be significantly improved by sparing lymph vessels in laparoscopic varicocele ligation.Furthermore,although no statistical difference of sperm quality is found between lymph sparing group and testicular artery sparing group,it is seemed that improvement of semen in lymph sparing group is better.Preservation of testicular artery can improve the semen quality and reduce the rate of testicular atrophy after operation.Key words: Varicocele; Surgical Procedures; Laparoscopic; Ligation" @default.
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- W3031169077 date "2012-03-15" @default.
- W3031169077 modified "2023-09-23" @default.
- W3031169077 title "The clinical value of laparoscopy in ligation of spermatic veins" @default.
- W3031169077 doi "https://doi.org/10.3760/cma.j.issn.1673-4416.2012.02.014" @default.
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