Journal of pediatric surgery · 2009
Single-incision multiport laparoscopic orchidopexy: initial report.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
de Lima George Rafael Martins, da Silveira Rômulo Augusto, de Cerqueira João Batista Gadelha, de Abreu Augusto César Gadelha, de Abreu Filho Augusto César Gadelha, Rocha Marcos Flávio Holanda, Regadas Rommel Prata, Gonzaga-Silva Lúcio Flávio
Аннотация
PURPOSE: We report the first use of single-incision multiport access to perform 1-stage laparoscopic orchidopexy in children without section of the spermatic vessels.
MATERIAL AND METHODS: Three boys with cryptorchidism were submitted to primary laparoscopic 1-stage orchidopexy by using 3 ports (a 10-mm [or 5-mm] port placed using open technique and 2 additional 5-mm [or 3-mm] ports) inserted through the same periumbilical skin incision with different entrances through the abdominal wall. After dissection of the testicular vessels and vas deferens, a 5-mm port was placed in a tunnel from the scrotum to pull the remnant of the gubernaculum down and fix the testicle in a dartos pouch.
RESULTS: The mean operative time was 83.3 minutes. The estimated blood loss was almost nil, and there were no intraoperative complications.
CONCLUSION: This approach was feasible and safe. However, as with any new technique, its use requires a larger number of cases and a longer follow-up to fully evaluate its benefits and limitations.
MATERIAL AND METHODS: Three boys with cryptorchidism were submitted to primary laparoscopic 1-stage orchidopexy by using 3 ports (a 10-mm [or 5-mm] port placed using open technique and 2 additional 5-mm [or 3-mm] ports) inserted through the same periumbilical skin incision with different entrances through the abdominal wall. After dissection of the testicular vessels and vas deferens, a 5-mm port was placed in a tunnel from the scrotum to pull the remnant of the gubernaculum down and fix the testicle in a dartos pouch.
RESULTS: The mean operative time was 83.3 minutes. The estimated blood loss was almost nil, and there were no intraoperative complications.
CONCLUSION: This approach was feasible and safe. However, as with any new technique, its use requires a larger number of cases and a longer follow-up to fully evaluate its benefits and limitations.