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1.
Frank Friedersdorff Seven Johannes Aghdassi Peter Werthemann Hannes Cash Irena Goranova Jonas Felix Busch Jan Ebbing Stefan Hinz Kurt Miller Joerg Neymeyer Tom Florian Fuller 《Surgical endoscopy》2013,27(10):3646-3652
Background
This study aimed to compare laparoendoscopic single-site varicocelectomy (LESSV) with multiport laparoscopic varicocelectomy (MLV) in terms of intraoperative parameters and postoperative outcomes.Methods
A retrospective case–control study investigated 10 male adolescents and 89 adults who underwent either LESSV or MLV at the authors’ center. The reusable X-Cone single port was inserted transumbilically. A 5-mm 30° telescope was used together with a straight and a prebent laparoscopic instrument. The MLV procedure was performed using two 5-mm ports and one 10-mm port.Results
Between January 2009 and November 2012, 20 patients underwent LESSV and 79 patients underwent MLV. The demographic data were comparable between the two groups. The mean operating time was 59.1 ± 15.5 min for LESSV and 51.2 ± 14.4 min for MLV (P = 0.04). In the LESSV group, no conversion to MLV was necessary. The hospital stay was 1.6 ± 0.7 days in the LESSV group versus 1.8 ± 0.5 days in the MLV group (P = 0.17). The postoperative pain scores did differ between the two groups. By day 2, significantly more patients in the LESSV group than in the MLV group fully recovered their normal physical activity (P = 0.02). Comparison of pre- and postoperative values showed relief of testicular pain and improvement of semen parameters for the majority of the patients. The overall incidence of complications was distributed equally between the two groups as follows: paresthesia of the upper thigh (8 %), wound infection (5 %), epididymitis (3 %) and hydrocele (4 %). All the patients in the LESSV group were fully satisfied with their cosmetic results compared with only 76 % of the patients in the MLV group (P = 0.01).Conclusions
The LESSV procedure performed with the reusable X-Cone is as safe and efficient as MLV. After LESSV, the parameters measuring postoperative patient satisfaction are significantly improved. Given its reusable components, including prebent laparoscopic instruments, the X-Cone platform is a cost-effective alternative to disposable or homemade single ports. 相似文献2.
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4.
Georg Lange Strobel Sponholz Werthemann Spaar Max Budde 《Journal of cancer research and clinical oncology》1939,49(4):167-171
Ohne Zusammenfassung 相似文献
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6.
Werthemann Krauspe Böhmig Wette Hesse v. Knorre Schairer Schober Haagen Hoheisel G. Beyer Rodewald Ostertag Gottschick R. Gutzeit Goy Minnigerode Henneberger-Köstler W. Dietrich Nieberle W. Biedermann Sponholz Tietze Kempf Lenkeit Huber W. Rübsamen 《Journal of cancer research and clinical oncology》1939,49(4):171-191
Ohne Zusammenfassung 相似文献
7.
Küster Hans W. Schmidt E. Jacob W. Fischer Haagen A. Schmitz Merten Kloiber Annelise Schlüter Ostertag H. Nachtsheim Kürten Hans W. Schmidt Pohlandt Voss Breitländer Orzechowski Druckrey Krah Th. Naegeli Franz Sørensen Werthemann 《Journal of cancer research and clinical oncology》1942,53(3-4):188-199
Ohne Zusammenfassung 相似文献
8.
Kuen Werthemann A. Dietrich Sponholz Rodewald Druckrey L. Herold Fauvet Merten K. Tietze Carl Clauberg H. Beck Sponholz Böhmig 《Journal of cancer research and clinical oncology》1940,49(1):60-71
Ohne Zusammenfassung 相似文献
9.
Krah W. Dietrich Werthemann Haagen Krauspe H. Brach Ostertag Stelzer Druckrey Schairer 《Journal of cancer research and clinical oncology》1940,49(1):17-22
Ohne Zusammenfassung 相似文献
10.
Sørensen Rodewald Böhmig Sponholz H. Brach Orzechowski H. Hruszek Stelzer Mühlbock Stelzer Krauspe Werthemann Küster Haagen Hegemann W. Biedermann Fetscher Dieter Hintze H. Chantraine Engelmann Taeger H. Brach 《Journal of cancer research and clinical oncology》1940,49(1):44-53
Ohne Zusammenfassung 相似文献