【Abstract】 ObjectiveTo explore the clinical efficacy of laparoscopic highlyselective high ligation of spermatic vein in treatment of cirsocele. MethodsSeventytwo patients with cirsocele were selected and were randomly divided into observation group and control group, with 36 cases in each group. The control group received laparoscopic cluster high ligation of spermatic vein and the observation group received laparoscopic highlyselective high ligation of spermatic vein (spermatic artery was preserved ). The operative duration, intraoperative blood loss, postoperative hospital stay and total hospitalization expense were observed and compared between the two groups. During the followup of 6 months, the subjective symptoms, semen quality and postoperative complications were compared between the two groups. ResultsThe surgery was successfully completed in all the 72 patients. The operative duration and intraoperative blood loss of the control group were less than those of the observation group (P＜0.05). There were no significant differences in the postoperative hospital stay and total hospitalization expense between the two groups (P＞0.05). All cases were followed up with 6 months after operation, and none of the patients withdrew from the followup. The incident rates of subjective discomfort and complications in the control group were higher than the rates in the observation group（P＜0.05）. There was no significant difference in the result of semen analysis between the two groups（P＞0.05）. ConclusionLaparoscopic highlyselective high ligation of spermatic vein can better relieve patients′ discomforts and reduce the incidence of postoperative complications, and also is much safer.

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