Pediatric Varicocelectomy: A Comparative Study of Conventional Laparoscopic and Laparoendoscopic Single-Site Approaches

Abstract

LESSV is comparable to LV in the pediatric population. Our initial experience indicates that the LESS approach may be more painful in the immediate postoperative period than conventional laparoscopy. The LESS technique warrants further evaluation to determine if one approach is clearly more advantageous.

Laparoendoscopic single-site varicocelectomy compared with conventional laparoscopic surgery: a systematic review and meta-analysis

“…Table 1 depicts the study characteristics and methodology for the six studies included in the systematic review (Bansal et al 2014; Friedersdorff et al 2013; Lee et al 2012; Marte et al 2014; Wang et al 2014; Youssef and Abdalla 2015). Among these, three were randomized controlled trials (level of evidence 2b) (Lee et al 2012; Wang et al 2014; Youssef and Abdalla 2015).…”

“…Among these, three were randomized controlled trials (level of evidence 2b) (Lee et al 2012; Wang et al 2014; Youssef and Abdalla 2015). Another three were retrospective case control studies (level of evidence 3b–4) (Bansal et al 2014; Friedersdorff et al 2013; Marte et al 2014). All publications reported on similar outcomes (i.e., hospital stay, operating time, pain score, time to return to normal activity, complications).…”

“…Since then, more and more case reports and control studies comparing LESS with conventional laparoscopy have increased. Even though several studies comparing LESS-V and conventional laparoscopic varicocelectomy (CTL-V) have been reported, most are small series with conflicting results (Bansal et al 2014; Friedersdorff et al 2013; Lee et al 2012; Marte et al 2014; Wang et al 2014; Youssef and Abdalla 2015). It is still uncertain whether the benefits of LESS-V are restricted to improved fertility and are superior to CTL-V. Our goal is to therefore systemically search and analyze the available literature to conduct a meta-analysis of these studies to compare LESS-V–CTL-V.…”

Single-incision laparoscopic surgery and conventional laparoscopic treatment of varicocele in adolescents: Comparison between two techniques

“…[20] A recent randomised controlled trial showed that patients who underwent SIL cholecystectomy experienced less postoperative pain and required fewer analgesics compared to those treated with conventional laparoscopic cholecystectomy. [21] As reported by Bansal et al in their initial experience, the author indicates that the laparoendoscopic single-site varicocelectomy may be more painful in the immediate post-operative period than conventional laparoscopy, [22] whereas, Wang et al [23] in their experience, concludes that compared with conventional laparoscopic technique, laparoendoscopic single-site varicocelectomy may decrease post-operative pain and hide the surgical incision better within the umbilicus. [23] In our experience, the patients presented a significantly lower VAS at 6, 9, and 24 post-operative hours.…”

Laparoscopy in non-palpable testis and varicocele

“…Son zamanlarda varikoselektomi, konvansiyonel laparoskopi yerine laparoendoskopik single-site (LESS) yaklaşımla da yapılmaktadır. Bu teknikte ilave portun kullanılmaması avantaj olarak düşünülebilir ancak daha fazla deneyim gerektirir (53) . Konvansiyonel laparoskopi ile LESS'in karşılaştırıldığı bir çalışmada, LESS tekniğinde istatistiksel olarak anlamlı saptanmasa da operasyon süresinin daha kısa sürdüğü, postoperatif ağrının LESS tekniğinde daha fazla olduğu, postoperatif hidrosel gelişimi açısından ise fark olmadığı raporlanmıştır (53) .…”