Li Mingchao, Wang Zhengyun, Li Hao
1 Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
2 Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Int Med Res. 2016 Oct;44(5):985-993. doi: 10.1177/0300060516659824. Epub 2016 Sep 29.
Objective To perform a meta-analysis of data from available published studies comparing laparoendoscopic single-site surgery varicocelectomy (LESSV) with conventional transperitoneal laparoscopic varicocele ligation. Methods A comprehensive data search was performed in PubMed and Embase to identify randomized controlled trials and comparative studies that compared the two surgical approaches for the treatment of varicoceles. Results Six studies were included in the meta-analysis. LESSV required a significantly longer operative time than conventional laparoscopic varicocelectomy but was associated with significantly less postoperative pain at 6 h and 24 h, a shorter recovery time and greater patient satisfaction with the cosmetic outcome. There was no difference between the two surgical approaches in terms of postoperative semen quality or the incidence of complications. Conclusion These data suggest that LESSV offers a well tolerated and efficient alternative to conventional laparoscopic varicocelectomy, with less pain, a shorter recovery time and better cosmetic satisfaction. Further well-designed studies are required to confirm these findings and update the results of this meta-analysis.
目的 对已发表的比较腹腔镜单孔手术精索静脉曲张切除术（LESSV）与传统经腹腹腔镜精索静脉曲张结扎术的数据进行荟萃分析。方法 在PubMed和Embase中进行全面的数据检索，以确定比较这两种手术方法治疗精索静脉曲张的随机对照试验和比较研究。结果 六项研究纳入荟萃分析。LESSV的手术时间明显长于传统腹腔镜精索静脉曲张切除术，但术后6小时和24小时疼痛明显减轻，恢复时间更短，患者对美容效果的满意度更高。两种手术方法在术后精液质量或并发症发生率方面无差异。结论 这些数据表明，LESSV是传统腹腔镜精索静脉曲张切除术的一种耐受性良好且有效的替代方法，疼痛更少，恢复时间更短，美容满意度更高。需要进一步设计良好的研究来证实这些发现并更新本荟萃分析的结果。
