ID 109543
Author
Ishibashi, Hiroki Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital|Department of Pediatric Surgery, National Kagawa Children’s Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Mori, Hiroki Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yada, Keigo Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital KAKEN Search Researchers
Shimada, Mitsuo Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Sogami, Tomoko Department of Pediatric Surgery, National Kagawa Children’s Hospital
Nii, Akira Department of Pediatric Surgery, National Kagawa Children’s Hospital
Keywords
Laparoscopic Palomo
Lymphatic sparing
Dye
children
Content Type
Journal Article
Description
The ideal method for varicocelectomy in children remains controversial. We present
our experience with dye-assisted lymphatic-sparing laparoscopic varicocelectomy (LSLV) in children, which overcomes the limitations of previously described techniques.
Materials and methods : Five consecutive LSLVs were performed over a period of three
years on children with a mean age of twelve years. The varicocele grade was three in one
case and grade 2 in four cases, respectively. A left subdartos injection of 2 ml of Indigo carmine dye was done using a 25-gauge needle at ten minutes before an operation. A scrotal injection of lymphatic dye was utilized to spare at least one lymphatic and the remaining spermatic vessels were divided. Results : Lymphatic-sparing was accomplished in all cases.
No peri-operative complication was noted.We spared one lymphatic channel in one patient
(20%) and two channels in four patients (80%). There were no cases of hydrocele or
residual varicocele. Conclusion : Dye-assisted LSLV is easily accomplished with an excellent surgical outcome and sparing one or two lymphatics appears to be sufficient to avoid secondary hydrocele.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
61
Issue
1-2
Start Page
151
End Page
155
Sort Key
151
Published Date
2014-02
EDB ID
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital