Robot-assisted Modified One-Stage Orchiopexy: Description of a Surgical Technique

Shumaker, Andrew; Neheman, Amos

doi:10.1016/j.urology.2021.03.039

Cited by 6 publications

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“…Most recently, Shumaker and Neheman published their series of Robot-assisted Modified One-Stage Orchiopexy (17). Here, they describe their technique, which was very similar to ours, however, all patients had a single stage orchiopexy.…”

Section: Discussionmentioning

confidence: 53%

Robot-assisted laparoscopic orchiopexy: A comparative analysis with laparoscopic orchiopexy

et al. 2023

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BackgroundWhile undescended testes are relatively common, the nonpalpable testis remains a challenging problem. The gold standard treatment remains the laparoscopic orchiopexy. However, today robot-assisted surgery has challenged traditional laparoscopy in many areas of urology. Yet the value of this new approach remains controversial, given concerns with operative time and cost. We reviewed our contemporary results of both robot-assisted orchiopexy (RALO) and traditional laparoscopic orchiopexy (TLO). Our primary aims were to retrospectively compare success rates, and operative time. Our secondary aims were to compare costs and complications related to each method.MethodsIn this study, all patients treated with laparoscopic and robot-assisted laparoscopic orchiopexy from April 2017 to January 2022 were reviewed using CPT code 54692. Exclusion criteria included bilateral concomitant orchiopexy or concomitant “major surgery,” or follow up less than 6 months. Also excluded were 1st stage orchiopexies. For the purposes of comparison, 1-stage and 2nd stage orchiopexies were included in the analysis. Patient demographics, surgical operative notes and documentation were all reviewed.ResultsAfter exclusion criteria was applied, 16 and 17 remained in the laparoscopic and robot-assisted cohorts, respectively. Upon follow up, all patients in both the laparoscopic and robot-assisted cohorts were noted to have a healthy testicle palpable in the dependent portion of the scrotum. The median operative time in the TLO group was 71 minutes, compared to 101 minutes in the RALO group (p>0.0001). When comparing median hospital charges, the TLO group was lower at $38,813, compared to $46,455 in the RALO group (p = 0.0069). There was one postoperative complication in the TLO group (localized wound infection), compared to zero in the RALO group.ConclusionsThe robot-assisted orchiopexy is safe and effective. However, at this time it remains more costly in terms of time and resources.

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Section: Discussionmentioning

confidence: 53%

Robot-assisted laparoscopic orchiopexy: A comparative analysis with laparoscopic orchiopexy

et al. 2023

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“…Even if laparoscopic orchiopexy represents the gold standard procedure in case of non-palpable testis, taking a correct decision between sacrificing testicular vessel in order to obtain sufficient length, preserving the vascularization or adopting a one and two-stage Fowler-Stephens orchiopexy can be a challenging decision. Shumaker et al ( 41 ) describes a first stage Fowler-Stephens approach’s change, adopting a robot-assisted laparoscopic method and obtaining an optimal mobilization of the testicular vessels with a correct ligation of the artery, noticing a 0% of conversion rate and no case of testicular atrophy in the follow-up period.…”

Section: Discussionmentioning

confidence: 99%

Narrative review: robotic pediatric surgery—current status and future perspectives

Saxena,

Borgogni,

Escolino

et al. 2023

Transl Pediatr

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Background and Objective Robot-assisted surgery has been progressively involved in various fields of adult and pediatric surgery, demonstrating many advantages over either mini-invasive or open surgery. The aim of this review is to provide the most recent evidence on robot-assisted pediatric surgery, in all its subspecialties. Methods A comprehensive electronic literature search of PubMed, Embase, and Cochrane Library was conducted using appropriate Medical Subject Headings (MeSH) terms and keywords. The interval time considered was a 5-year period [2017–2022], and no language restrictions were applied. Key Content and Findings A total of 685 titles were identified. After applying exclusion criteria, 73 articles for robotic pediatric surgery have been published and were included in this review. We extrapolated and summarized the current evidence on robot-assisted surgery in pediatric age through all the fields of applicability. Conclusions Robot-assisted surgery is technically feasible in case of a selected pediatric cohort, and it is going to achieve similar or better surgical results if related to the standard open or mini-invasive procedures. Copious case series and randomized trials are still required. Due to the great potential that this new technology is demonstrating, in the close future, the evolution of robotic platform will offer a valid and solid alternative in the treatment of various pediatric pathologies.

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Pediatric robotic surgery for benign diseases

Mizuno,

Hayashi,

Nishio

et al. 2025

Handbook of Robotic Surgery

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Robot-assisted Modified One-Stage Orchiopexy: Description of a Surgical Technique

Cited by 6 publications

References 0 publications

Robot-assisted laparoscopic orchiopexy: A comparative analysis with laparoscopic orchiopexy

Robot-assisted laparoscopic orchiopexy: A comparative analysis with laparoscopic orchiopexy

Narrative review: robotic pediatric surgery—current status and future perspectives

Pediatric robotic surgery for benign diseases

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