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Related Concept Videos

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Related Experiment Video

Updated: Jun 20, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

[Non-palpable testes: laparoscopic or inguinal approach?].

M García Palacios1, I Somoza, A Lema

  • 1Servicio de Cirugía Pediátrica, Hospital Materno Infantil Teresa Herrera, Complexo Hospitalario Universitario de A Coruña. maria.garcia.palacios@sergas.es

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|September 1, 2009
PubMed
Summary

For non-palpable testes in children, an initial inguinal approach is more effective than laparoscopy. This strategy reduces the need for subsequent surgical procedures, improving outcomes for cryptorchidism treatment.

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Last Updated: Jun 20, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Area of Science:

  • Pediatric Surgery
  • Urology
  • Surgical Outcomes

Background:

  • Cryptorchidism affects 20% of patients with non-palpable testes post-operation.
  • Initial surgical approach (laparoscopic vs. inguinal) for non-palpable testes is debated.

Purpose of the Study:

  • To compare laparoscopic and inguinal approaches for non-palpable testes.
  • To determine the most effective initial surgical option.

Main Methods:

  • Retrospective review of 53 patients with non-palpable testes over three years.
  • Compared initial inguinal approach (35 patients) versus laparoscopic approach (18 patients).
  • Recorded patient age, side, surgical findings, and need for secondary procedures.

Main Results:

  • Average patient age was 3.7 years (range 1-13).
  • Initial inguinal approach required laparoscopy in 11% of cases.
  • Initial laparoscopic approach necessitated a subsequent inguinal approach in 80% of cases.

Conclusions:

  • Inguinal exploration is more effective for non-palpable testes.
  • An initial inguinal approach minimizes the need for secondary interventions.
  • This strategy improves surgical outcomes in pediatric cryptorchidism.