Related Experiment Video
Updated: Jun 20, 2026
Grade III Varicocele Surgical Treatment using Spermatic Vein-Superficial Abdominal Vein Shunt
Published on: August 23, 2024
[Comparison between laparoscopic and open surgical high ligation of the internal spermatic vein]
Qi-Zhong Liu1, Kai Tian, Yue-Xi Zhang
1Department of Urology, Central Hospital of Luohe, Luohe, Henan 462000, China. liuqizhong@163.com
Objective:
To compare the effects of laparoscope-guided high ligation of the internal spermatic vein and open surgery in the treatment of varicocele.
Methods:
We collected the clinical data of 85 cases of varicocele treated by laparoscope-guided high ligation of the internal spermatic vein (the laparoscopic group) and another 47 that underwent open surgery (the open group) , and compared the results of treatment between the 2 groups.
Results:
The operations were successful in all the cases. In the laparoscopic group, the mean operation time was (32.0 +/- 5.9) minutes, with little bleeding, and the mean postoperative hospital stay was (3.0 +/- 1.6) days, with 3 cases (3.5%) of recurrence during the 3-12 months follow-up. In the open group, the mean operation time was (46.0 +/-7.2) minutes and the mean postoperative hospital stay was (7.0 +/- 3.7) days, with 5 cases (10.6%) of recurrence during the same length of follow-up.
Conclusion:
Laparoscopic method for the treatment of varicocele is obviously superior to open surgery for its advantages of minimal invasiveness, fast recovery, sure effectiveness, few complications and low recurrence, particularly for those with bilateral varicocele who experienced recurrence after open surgery.
