A technique for laparoscopic varicocelectomy in children with ICG fluorescent lymphography
- Authors: Kozlov Y.A.1,2,3, Poloyan S.S.1,3, Marchuk A.A.1, Rozhansky A.P.3, Byrgazov A.A.3, Kovalkov K.A.4,5, Kapuller V.M.6, Narkevich A.N.7, Muraviev S.A.3
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Affiliations:
- Children’s Regional Clinical Hospital
- Irkutsk State Medical Academy of Postgraduate Education
- Irkutsk State Medical University
- Atamanov Kuzbass Regional Children’s Clinical Hospital
- Kemerovo State Medical University
- Assuta University Medical Center
- Voyno-Yasenetsky Krasnoyarsk State Medical University
- Issue: Vol 27, No 2 (2023)
- Pages: 127-131
- Section: CASE REPORT
- Submitted: 21.06.2023
- Published: 21.06.2023
- URL: https://jps-nmp.ru/jour/article/view/693
- DOI: https://doi.org/10.55308/1560-9510-2023-27-2-127-131
- ID: 693
Cite item
Abstract
Introduction. Laparoscopic varicocelectomy by the Palomo-Erokhin technique is one of the most common approaches for treating varicocele in children, but postoperative hydrocele is still a major complication after it. The authors present a novel technique of lymphography with indocyanine green (ICG).
Material and methods. A case of a boy, aged 13, with grade 3 varicocele accompanied by hypotrophy of the left testicle and pain in the left half of the scrotum is described in the article. He was operated on laparoscopically by the Palomo–Erokhin technique using RUBINA manufactured by Karl Storz company. After placing trocars under the tunica albicans of the left testicle, 6.5 mg ICG fluorescent solution was injected. Lymphatic vessels were clearly identified on ICG images. The testicular vein was separated from the vascular bundle, then ligated and transected.
Results. Intratesticular ICG injection and fluorescent images allowed to identify all lymphatic vessels. Surgery lasted for 25 minutes. No allergies or other adverse reactions caused by ICG were registered. In 6 months, there were no signs of recurrence and hydrocele formation.
Conclusion. Our initial experience has shown that fluorescent lymphography with ICG is a safe and effective technique for lymph-sparing laparoscopic varicocelectomy in children, when using the Palomo-Erokhin technique.
Keywords
About the authors
Yu. A. Kozlov
Children’s Regional Clinical Hospital; Irkutsk State Medical Academy of Postgraduate Education; Irkutsk State Medical University
Author for correspondence.
Email: yuriherz@hotmail.com
ORCID iD: 0000-0003-2313-897X
Yuri Yu. Kozlov, MD, PhD, DSc, Prof., head of department
department of newborns
664022
664049
664009
Irkutsk
РоссияS. S. Poloyan
Children’s Regional Clinical Hospital; Irkutsk State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0001-7042-6646
664022
664009
Irkutsk
РоссияA. A. Marchuk
Children’s Regional Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0001-9767-0454
664022
Irkutsk
РоссияA. P. Rozhansky
Irkutsk State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0001-7922-7600
664009
Irkutsk
РоссияA. A. Byrgazov
Irkutsk State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0002-9195-5480
664009
Irkutsk
РоссияK. A. Kovalkov
Atamanov Kuzbass Regional Children’s Clinical Hospital; Kemerovo State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0001-6126-4198
650056
Kemerovo
РоссияV. M. Kapuller
Assuta University Medical Center
Email: fake@neicon.ru
ORCID iD: 0000-0003-0076-5778
Ben Gurion in the Negev
Ashdod
ИзраильA. N. Narkevich
Voyno-Yasenetsky Krasnoyarsk State Medical University
Email: fake@neicon.ru
660022
Krasnoyarsk
РоссияS. A. Muraviev
Irkutsk State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0003-4731-7526
664009
Irkutsk
РоссияReferences
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