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| Clinical Evaluation of Transumbilical Single-Port Laparoscopic Surgery for Children with Cryptorchidism |
| YUCHI Jinxin, WANG Zhanbo, LIU Chang, et al |
| The Affiliated Hospital of Chengde Medical University, Hebei Chengde 067000, China |
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Abstract Objective: To compare the curative effect of transumbilical single-port laparoscopic surgery and traditional three-port laparoscopic surgery in children with cryptorchidism.Methods: A total of 60 pediatric patients with cryptorchidism admitted to our hospital from January 2020 to December 2021 were selected. Among them, 30 children were assigned to the single-hole group by umbilical single-hole laparoscopic surgery. During the operation, a 1cm incision was taken in the umbilical and a disposable four-channel trocar puncture device was placed open. The other 30 children were divided into the three-hole group by traditional three-hole laparoscopic surgery. During the operation, 0.5~1cm incision was made in the umbilical and left and right McIntosh points respectively, and disposable poke cards were inserted respectively. The instruments were operated into the abdominal cavity by three poke cards. The operative time, intraoperative blood loss, length of hospital stay, hospitalization cost, incidence of postoperative complications and aesthetic degree of postoperative incision were compared and analyzed between the two groups. Results: Sixty cases of children successfully completed the operation, the testicular sutured at the lower pole of the scrotum in a satisfactory position, spermatic cord vascular tension is not high. There were no significant differences in operation time, intraoperative blood loss and hospital stay between the single-well group and the three-well group (P>0.05). The hospitalization cost of single well group was higher than that of three well group, and the difference was statistically significant (P<0.05). The incision aesthetics of single hole group is better than that of three hole group. Conclusion: Transumbilical single-port laparoscopic surgery for the treatment of children cryptorchidism is safe, feasible, does not increase the operation time, beautiful incision without scar, should be popularized in clinical application.
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2022, Vol. 28 
