지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 928 - 935 (8page)
- DOI
- 10.3349/ymj.2021.62.10.928
이용수
초록· 키워드
오류제보하기
Purpose: In young patients with varicocele, preservation of the internal spermatic artery may be advantageous for catch-up growth, but it may also increase the likelihood of treatment failure. Intraoperative venography reduces the likelihood that unsealed veins will remain after varicocelectomy. We analyzed the characteristics of remnant veins visualized through intraoperative venography to investigate the cause of surgical failure in artery-sparing varicocelectomy (ASV).
Materials and Methods: We retrospectively analyzed clinical characteristics and outcomes of patients aged 18 years or younger who underwent varicocelectomy with intraoperative venography from January 2005 to December 2017. During varicocelectomy, intraoperative venography was performed to distinguish veins from other structures. Any unsealed veins that were discovered were ligated and classified using the Bahren system.
Results: One hundred and sixty-two patients underwent intraoperative venography: 153 cases (94.4%) were for primary varicocelectomy, and 9 cases (5.6%) were for repeat varicocelectomy. Open varicocelectomy was performed in 105 cases (64.8%), and laparoscopic varicocelectomy was performed in 57 cases (35.2%). Venography revealed remnant veins after the first ligation in 51 cases (31.2%), 46 (90.2%) and 5 (9.8%) of which were Bahren types 3 and 4, respectively. Five patients (3.1%) experienced varicocele recurrence, classified as persistence in 1 patient (0.6%) and relapse in 4 patients (2.5%).
Conclusion: Remnant collateral veins of the internal spermatic vein (ISV) (Bahren type 3) are the most common cause of failure in ASV. In a few patients, an external spermatic vein merges with the ISV at a higher level (Bahren type 4) and is unidentifiable without venography.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Feber KM / 2008 / Varicocelectomy in adolescent boys : long-term experience with the Palomo procedure / J Urol 180:1657~1659
Levitt S / 1987 / Routine intraoperative post-ligation venography in the treatment of the pediatric varicocele / J Urol 137:716~718
Keene DJ / 2014 / Intravenous methylene blue venography during laparoscopic paediatric varicocelectomy / J Pediatr Surg 49:308~311
Sakamoto H / 2007 / Testicular volume measurement : comparison of ultrasonography, orchidometry, and water displacement / Urology 69:152~157
Glassberg KI / 2011 / Evaluation and management of the persistent/recurrent varicocele / Urology 77:1194~1198
Levitt S / 1987 / Routine intraoperative post-ligation venography in the treatment of the pediatric varicocele / J Urol 137:716~718
Keene DJ / 2014 / Intravenous methylene blue venography during laparoscopic paediatric varicocelectomy / J Pediatr Surg 49:308~311
Sakamoto H / 2007 / Testicular volume measurement : comparison of ultrasonography, orchidometry, and water displacement / Urology 69:152~157
Glassberg KI / 2011 / Evaluation and management of the persistent/recurrent varicocele / Urology 77:1194~1198
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