Portal de Periódicos da CAPES

Artigo Produção Nacional Revisado por pares

BIBTEX RIS

Single-incision multiport laparoscopic orchidopexy: initial report

2009; Elsevier BV; Volume: 44; Issue: 10 Linguagem: Inglês

10.1016/j.jpedsurg.2009.06.030

1531-5037

George Rafael Martins de Lima, Rômulo Augusto da Silveira, João Batista Gadelha de Cerqueira, Augusto César Gadelha de Abreu, Augusto César Gadelha de Abreu Filho, Marcos Flávio Holanda Rocha, Rommel Prata Regadas, Lúcio Flávio Gonzaga-Silva,

Gastrointestinal Tumor Research and Treatment

Abstract 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.