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Laparoscopic -2port Varicocelectomy with Scarless Periumblical Mini-Incision: Initial Experience in Approach and Outcomes.

Laparoscopic -2port Varicocelectomy with Scarless Periumblical Mini-Incision: Initial Experience in Approach and Outcomes.
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Seo WI, Kwon JK, Kang PM, Kim W, Yoon JH, Kim TS, Chung JS, Oh CK,


Seo WI, Kwon JK, Kang PM, Kim W, Yoon JH, Kim TS, Chung JS, Oh CK, (click to view)

Seo WI, Kwon JK, Kang PM, Kim W, Yoon JH, Kim TS, Chung JS, Oh CK,

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Urology journal 2018 01 21() doi 10.22037/uj.v0i0.3869
Abstract
PURPOSE
As with other areas, there have been many efforts for minimally invasive surgery in varicocelectomy. We present our initial experience with laparoscopic varicocelectomy with a two-port scarless periumbilical mini-incision.

MATERIALS AND METHODS
The study enrolled 18 patients who underwent laparoscopic varicocelectomy with a twoportscarless periumbilical mini-incision from February 2012 to April 2013. The laparoscopic varicocelectomy was performed using two 5-mm ports at periumbilical sites in skin creases. Here, the surgical procedure is introduced and the outcomes of the case series are summarized. We reviewed other laparoscopic techniques and compared them with our technique.

RESULTS
The mean patient age was 34.8 years. Of the 18 patients, 15 had grade 3 varicoceles. The mean operatingtime was 62.5 minutes. Postoperatively, the scrotal pain level decreased immediately from a mean VAS score of 6.3 to 4.4 and then to 1.7 by 24 hours postoperatively. The mean hospital stay was 2.8 days. Complications included one hydrocele and two recurrent varicoceles. The operating time decreased as the surgeon’s experience increased.

CONCLUSION
Laparoscopic varicocelectomy with a two-port scarless periumbilical mini-incision is a feasible technique that can be mastered relatively easily. Prospective and comparative studies are required to validate this new technique.

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