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[A decade of laparoscopic varicocelectomy: costs and learning stages]
A Jiménez Garrido1, M V García de la Torre, E Sánchez de Badajoz
1Departamento de Cirugía, Facultad de Medicina, Universidad de Málaga, España.
Objective:
To present the results of a retrospective study on laparoscopic varicocelectomy, with special reference to the changes in the operating time observed throughout the training period.
Methods:
We have reviewed the laparoscopic varicocelectomy procedures performed from 1987 to 1997. The operating times were graphically represented and compared, and the modifications and complications observed over the ten-year period were analyzed.
Results/Conclusions:
The operating times decreased as the number of procedures increased and its duration further decreased as the interval between operations became shorter. In our case, the average operating time after the training period has been completed is 44 minutes. The cost of laparoscopic varicocelectomy and laparoscopic surgery in general is comparable to that of open surgery if nondisposable material is utilized.