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Transumbilical multiport laparoscopic orchiopexy in children: comparison with standard laparoscopic orchiopexy
1Department of Pediatric Surgery, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Objective:
To compare the clinical outcomes of transumbilical multiport laparoscopic orchiopexy (TMLO) vs standard laparoscopic orchiopexy (SLO) for 1-stage management of impalpable testes in children.
Materials And Methods:
A total of 30 patients underwent primary TMLO from January 2010 to December 2011. An additional 25 patients underwent SLO during the same period. These 2 procedures were performed with 3 ports and the usual laparoscopic instruments. The demographic, intraoperative, postoperative, and follow-up data were analyzed and compared between the patients.
Results:
The patients' demographic data were similar between the 2 groups. The mean operative time was slightly longer in the TMLO than in the SLO group (54.2 vs 47.3 minutes, P <.05), without intraoperative complications in either group. However, no significant difference was noted between the TMLO and SLO groups in the length of hospital stay (4.0 vs 4.1 days, P >.05), interval to resume feeding (5.2 vs 5.4 hours, P >.05) or full activity (2.1 vs 2.2 days, P >.05), viable testis rate (33 of 34 vs 27 of 28, P >.05), or testicular atrophy (1 of 34 vs 1 of 28, P >.05).
Conclusion:
TMLO is a feasible and safe procedure for the management of impalpable testes in children, with clinical outcomes similar to those of SLO. Future randomized studies with a larger number of patients and longer follow-up are warranted to elucidate the benefits and limitations of TMLO in children.