Transumbilical Multiport Laparoscopic Orchiopexy in Children: Comparison With Standard Laparoscopic Orchiopexy

Hong, Ming; Pu, Jiarui; Qi, Teng; Qi, Meng; Li, Dan; Tang, Shaotao; Zheng, Liduan; Tong, Qiangsong

doi:10.1016/j.urology.2012.07.076

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…Nevertheless, the use of LESS in DUS was constrained by the requirement of specific multichannel laparoscopic ports and articulating or pre-bent instruments, especially in developing countries [ 17 , 18 , 19 ]. To achieve the identical invasiveness and cosmetic outcomes of LESS, after accumulating enough laparoscopic experience [ 20 , 21 , 22 ], we have tried and successfully performed many TMLUR surgeries by using the usual instruments in children, which has not been previously reported in the published literature. Recently, numbers of RALUR have increased annually and progressively overshadow conventional LUR due to its instinct technical advantages [ 4 , 9 , 10 , 11 , 12 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Robot-Assisted versus Trans-Umbilical Multiport Laparoscopic Ureteral Reimplantation for Pediatric Benign Distal Ureteral Stricture: Mid-Term Results at a Single Center

Guo

Yang

et al. 2022

JCM

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Objective: Robot-assisted laparoscopic ureteral reimplantation (RALUR) and trans-umbilical multiport laparoscopic ureteral reimplantation (TMLUR) are both minimally invasive procedures for benign distal ureteral stricture (DUS). However, TMLUR has rarely been reported in published research, thus the difference in mid-term outcome of these two procedures warrants investigation. Methods: Patients who underwent RALUR or TMLUR for pediatric DUS from April 2017 to November 2020 at our institution were retrospectively analyzed and 56 patients were included in this retrospective comparison. Demographic characteristics, perioperative data and follow-up results were collected and analyzed in RALUR and TALUR groups. Results: RALUR and TMLUR were successfully performed in children aged from 12.0 to 142.0 months, without conversion to open ureteral reimplantation. RALUR took shorter operative time than TMLUR (p = 0.005) with less blood loss (p = 0.001). Meanwhile, patients receiving RALUR encountered a greater financial burden (p < 0.001) with less cosmetic satisfaction than TMLUR. The mean mid-term follow-up time for RALUR and TMLUR was 18.29 months and 24.64 months, respectively. Mid-term follow-up data showed that DUS was relieved with improved renal function after surgery in both groups, with no significant difference. Conclusions: RALUR and TMLUR are both safe and efficient for DUS treatment and achieve comparable mid-term outcomes in children. RALUR can reduce operative time and operative blood loss benefiting from its prominent technical superiority, but may currently bring about greater financial burden, with cosmetic satisfaction remaining to be improved.

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Section: Discussionmentioning

confidence: 99%

Robot-Assisted versus Trans-Umbilical Multiport Laparoscopic Ureteral Reimplantation for Pediatric Benign Distal Ureteral Stricture: Mid-Term Results at a Single Center

Guo

Yang

et al. 2022

JCM

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“…39 Although they require a learning curve and special instruments for the single-site surgery, they appear to have equivalent outcomes to traditional laparoscopic orchiopexy with improved cosmesis. 39 …”

Section: Novel Modifications and Proceduresmentioning

confidence: 99%

The Nonpalpable Testis: A Narrative Review

Shepard

Kraft

2017

Journal of Urology

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Purpose While the nonpalpable testis represents only a small portion of all cryptorchid testes, it remains a clinical challenge for pediatric urologists. Many controversies about the best evaluation and management exist. This narrative review serves as an update on what is known about the nonpalpable testis: etiology, pre-operative evaluation, the best surgical management, novel techniques, and ongoing controversies. Materials and Methods A Pubmed® and MEDLINE® search limited to January 2000 to January 2017 was performed using relevant key terms. Of 367 articles, a total of 115 manuscripts were considered for inclusion based on an a priori design. Utilizing a narrative review format, an update on the evaluation and management of the nonpalpable testis including novel concepts and techniques was synthesized. Results The nonpalpable testis should be evaluated by physical exam only. Imaging is not indicated for the routine case. The optimal surgical approach and technique remains debated, but several novel techniques have been described. Due to the rarity of the nonpalpable testis, randomized controlled trial and other quality comparisons are difficult. Therefore, several controversies in management remain. Conclusions The evaluation and management of the nonpalpable testis remains difficult and some aspects remain debated. Future research should focus on multi-institutional collaborative trials to determine the optimal operative management.

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