Home  |  Archive  |  Online Submission  |  News & Events  |  Subscribe  |  APFA  |  Society  |  Links  |  Contact Us  |  中文版
Search   
 
Journal

Ahead of print
Authors' Accepted
    Manuscripts
new!
Current Issue
Archive
Acknowledgments
Special Issues
Browse by Category

Manuscript Submission

Online Submission
Online Review
Instruction for Authors
Instruction for Reviewers
English Corner new!

About AJA

About AJA
Editorial Board
Contact Us
News

Resources & Services

Advertisement
Subscription
Email alert
Proceedings
Reprints

Download area

Copyright licence
EndNote style file
Manuscript word template
Guidance for AJA figures
    preparation (in English)

Guidance for AJA figures
    preparation (in Chinese)

Proof-reading for the
    authors

AJA Club (in English)
AJA Club (in Chinese)

Links

Meetings
Journals
Societies & Institutes
Hospitals
Databases & Libraries
Companies
Websites
Other links

 
Abstract

Volume 19, Issue 2 (March 2017) 19, 248–255; DOI:10.4103/1008-682X.181194

Comparison of surgical effect and postoperative patient experience between laparoendoscopic single-site and conventional laparoscopic varicocelectomy: a systematic review and meta-analysis

Zheng Zhang, Shu-Juan Zheng, Wen Yu, You-Feng Han, Hai Chen, Yun Chen, Yu-Tian Dai

Department of Andrology, Affiliated Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing 210008, China

Correspondence: Dr. YT Dai (13913957628@163.com)

Date of Submission 10-Aug-2015 Date of Decision 20-Jan-2016 Date of Acceptance 06-Mar-2016 Date of Web Publication 20-May-2016

Abstract

The present meta-analysis was conducted to compare the clinical effect and patient experience of laparoendoscopic single-site varicocelectomy (LESSV) and conventional laparoscopic varicocelectomy. The candidate studies were included after literature search of database Cochrane Library, PubMed, EMBASE, and MEDLINE. Related information on essential data and outcome measures was extracted from the eligible studies by two independent authors, and a meta-analysis was conducted using STATA 12.0 software. Subgroup analyses were conducted by study design (RCT and non-RCT). The odds ratio (OR) or standardized mean difference (SMD) and their 95% confidence intervals (95% CIs) were used to estimate the outcome measures. Seven articles were included in our meta-analysis. The results indicated that patient who had undergone LESSV had a shorter duration of back to work (overall: SMD = −1.454, 95% CI: −2.502-−0.405, P = 0.007; non-RCT: SMD = −2.906, 95% CI: −3.796-−2.017, P = 0.000; and RCT: SMD = −0.841, 95% CI: −1.393-−0.289, P = 0.003) and less pain experience at 3 h or 6 h (SMD = −0.447, 95% CI: −0.754-−0.139, P = 0.004), day 1 (SMD = −0.477, 95% CI: −0.905-−0.05, P = 0.029), and day 2 (SMD = −0.612, 95% CI: −1.099-−0.125, P = 0.014) postoperatively based on RCT studies. However, the meta-analyses based on operation time, clinical effect (improvement of semen quality and scrotal pain relief), and complications (hydrocele and recurrence) yielded nonsignificant results. In conclusion, LESSV had a rapid recovery and less pain experience over conventional laparoscopic varicocelectomy. However, there was no statistically significant difference between the two varicocelectomy techniques in terms of the clinical effect and the incidence of hydrocele and varicocele recurrence. More high-quality studies are warranted for a comprehensive conclusion.

Keywords: complications; conventional laparoscopic varicocelectomy; laparoendoscopic single-site varicocelectomy; meta-analysis; pain score; semen quality

Full Text | PDF |

 
Browse:  100
 
Copyright 1999-2017  Shanghai Materia Medica, Shanghai Jiao Tong University.  All rights reserved