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Robotic‐assisted laparoscopic artery‐sparing varicocelectomy using indocyanine green fluorescence angiography: Initial experience
Author(s) -
Teng Jingfei,
Jia Zhuomin,
Ai Xing,
Luo Xiao,
Guan Yawei,
Hao Xuemei,
Fei Weiwei
Publication year - 2020
Publication title -
andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 59
eISSN - 1439-0272
pISSN - 0303-4569
DOI - 10.1111/and.13774
Subject(s) - medicine , indocyanine green , varicocele , hydrocele , angiography , testicular artery , urology , surgery , laparoscopy , artery , radiology , infertility , biology , pregnancy , genetics
We reported our initial experience of robotic‐assisted laparoscopic artery‐sparing varicocelectomy using indocyanine green (ICG) fluorescence angiography in treatment of varicocele. A total of 45 varicocelectomies in 27 patients were performed. The mean operation time was 49.1 ± 8.5 min for unilateral and 65.6 ± 8.3 min for bilateral repair. 47.2 s after ICG injection, testicular artery (TA) was visualised. After an interval of 31.3 s, fluorescent veins were identified. Of all the 45 spermatic cords, 68.9% had a solitary artery, while 31.1% had 2 arteries. The mean hospital stay was 1.6 ± 0.9 days. Semen concentration and motility were significantly improved 6 months after surgery, no recurrence, hydrocele or testicular atrophy was observed. Our study demonstrated that robotic‐assisted laparoscopic artery‐sparing varicocelectomy using ICG fluorescence angiography is a safe, effective and promising technique in treatment of varicocele.