112 / 330
112
28
TH
CONGRESS OF THE ESPU
RESULTS
During long-term follow-up we observed a significant decrease with a median level in the first year
492pg/ml and a median of 264 after 28 years. 9/99 patients had only one substitution o postopera-
tively, whereas 13 patients took a prophylactic substitution. Only 8 had a low vitamin b12 level, the
others took vitamin B12 for personal reasons. In these 8 patients the median year after operation
was 9.5 (6-21) years. Neither gender, disease or kind of continence mechanism was a risk factor.
None of the patients developed clinical signs of vitamin B12 deficiency.
CONCLUSIONS
In the long-term there is a significant risk for decreasing levels after the use of ileal segments.
Therefor vitamin B12 levels should be check once after the operation and than starting after 6 years
postoperatively. In those with low levels, a prophylactic substitution therapy should be started to
avoid clinical significant problems, despite none of our patients developed clinical signs.
15:03–15:15
Discussion
S10-5 (P without presentation)
COMPARISON OF SELECTIVE ARTERY SPARING
AND NON‑SELECTIVE LAPAROSCOPIC
VARICOCELECTOMY IN ADOLESCENTS
Osman Zeki KARAKUS
1
, Oktay ULUSOY
2
, Deniz ABDULLAHOGLU
3
,
Gulce HAKGUDER
1
, Oguz ATES
4
, Mustafa OLGUNER
3
and Feza AKGUR
3
1) Dokuz Eylül University, Medical School, Department of Pediatric Surgery, Izmir, TURKEY - 2) Dokuz Eylül University,
Medical School, Department of Pediatric Surgery, Izmir, TURKEY - 3) Dokuz Eylul University, Medical School,
Department of Pediatric Surgery, Izmir, TURKEY - 4) Dokuz Eylül University, Medical School, Department of Pediatric
Surgery, Izmir, TURKEY
PURPOSE
Currently laparoscopic methods are increasingly prefered for surgical treatment of varicocele.
We aimed to compare the results of the patients who were underwent laparoscopic nonselective
arterio-venous ligation with Palomo procedure and laparascopic selective artery sparing surgery
procedure.
MATERIAL AND METHODS
A total 37 patients who underwent laparoscopic varicocelectomy, between 2004-2015 years, were
rewieved retrospectively. Varicocele diagnosis was determined with physical examination and
Doppler ultrasonography. Demographic data, varicocele grade, applied methods, testicular catch-
up growth, duration of the operation, and complications were recorded.
RESULTS
Mean age of the patients were 13.7 ± 2.1 (10- 17 years). 26 patients (70.2%) had grade 3 and
11 patients (29.8%) had grade 2 varicocele who were all left sided. We treated 17 (46%) patients
with laparoscopic Palomo procedure and 20 (54%) patients with laparoscopic selective artery spar-
ing procedure. Conventional single port technique was used in Palomo procedure and multiport
technique was used in selective artery sparing procedure. Mean duration time for operation was
32.7 ± 6.4 minute in single port group, 38.6 ± 10.2 minute in multiport group. Hydrocele was occured
in 1 (5.9%) patient after Palomo procedure and recurrence was observed in 1 (5%) patient after
selective artery sparing procedure. In the first year of postoperative period, 2 of the 3 patients