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Single port laparoscopic orchidopexy in children using surgical glove port and conventional rigid instruments
Korean Journal of Urology ; : 781-784, 2015.
Artículo en Inglés | WPRIM | ID: wpr-198009
ABSTRACT

PURPOSE:

We review the literature and describe our technique for laparoendoscopic single-site orchidopexy using a glove port and rigid instruments. We assessed the feasibility and outcomes of this procedure. MATERIALS AND

METHODS:

We retrospectively reviewed the case records of all children who had undergone laparoendoscopic single-site orchidopexy by use of a surgical glove port and conventional rigid instruments for a nonpalpable intraabdominal testis between January 2013 and September 2014.

RESULTS:

Data from a total of 20 patients were collected. The patients' mean age was 18 months. All cases had a nonpalpable unilateral undescended testis. Fourteen patients (70%) had an undescended testis on the right side and six patients (30%) had an undescended testis on the left side. Seventeen patients underwent primary orchidopexy. Three patients underwent single-port laparoscopic Fowler-Stephens orchidopexy for the first and the second stage. Average operating time was 57 minutes (range, 40 to 80 minutes). No patient was lost to follow-up. At follow-up, 2 testes were found to have retracted out of the scrotum and these were successfully dealt with in a second operation. One testis was hypoplastic in the scrotal pouch. There were no signs of umbilical hernia.

CONCLUSIONS:

Single-port laparoscopic orchidopexy using a glove port and rigid instruments is technically feasible and safe for various nonpalpable intraabdominal testes. However, surgical experience and long-term follow-up are needed to confirm the superiority of this technique.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Estudios de Factibilidad / Estudios Retrospectivos / Estudios de Seguimiento / Laparoscopía / Criptorquidismo / Diseño de Equipo / Orquidopexia / Guantes Quirúrgicos Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos / Lactante / Masculino Idioma: Inglés Revista: Korean Journal of Urology Año: 2015 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Estudios de Factibilidad / Estudios Retrospectivos / Estudios de Seguimiento / Laparoscopía / Criptorquidismo / Diseño de Equipo / Orquidopexia / Guantes Quirúrgicos Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos / Lactante / Masculino Idioma: Inglés Revista: Korean Journal of Urology Año: 2015 Tipo del documento: Artículo