Cohen Z, Yulevich A, Kapuler V, Newman N, Mares A J
Pediatric Surgery Dept., Soroka Medical Center, Beer Sheba.
Harefuah. 1999 Apr 15;136(8):602-4, 659.
We report our initial experience with laparoscopic ligation of spermatic veins in the treatment of varicocele in adolescence. 19 boys, 13 to 18 years old, underwent this treatment between I 1997 and III 98. The varicocele was always on the left side. 12 complained of scrotal discomfort and pain, but in 7 it was found incidentally during routine medical examination by the family or school physician. The diagnosis was based only on physical examination. There has been no morbidity related to the laparoscopic procedure and all returned to normal activity within a few days. Follow-up 2-12 months after surgery showed no varicocele in any. We conclude that laparoscopy is useful in the treatment of varicocele in adolescents.
我们报告了腹腔镜精索静脉结扎术治疗青少年精索静脉曲张的初步经验。19名年龄在13至18岁的男孩在1997年1月至1998年3月期间接受了该治疗。精索静脉曲张均发生在左侧。12名患者主诉阴囊不适和疼痛，但7名患者是在家庭医生或学校医生的常规体检中偶然发现的。诊断仅基于体格检查。未发生与腹腔镜手术相关的并发症，所有患者在数天内恢复正常活动。术后2至12个月的随访显示，所有患者均无精索静脉曲张复发。我们得出结论，腹腔镜手术在治疗青少年精索静脉曲张方面是有效的。
