Observation on clinical efficacy and safety of single-port laparoscopic assisted testicular fixation for pediatric inguinal cryptorchidism
10.3969/j.issn.1673-9701.2025.29.001
- VernacularTitle:单孔腹腔镜辅助睾丸固定术治疗小儿腹股沟管型隐睾的临床疗效和安全性观察
- Author:
Zhijian ZHOU
1
;
Donglai HU
1
;
Junjie CHEN
1
Author Information
1. 金华市妇幼保健院儿外科,浙江金华 321000
- Publication Type:Journal Article
- Keywords:
Single-port laparoscopy;
Testicular fixation;
Pediatric inguinal cryptorchidism
- From:
China Modern Doctor
2025;63(29):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the application value of single-port laparoscopy assisted testicular fixation in treating pediatric inguinal cryptorchidism.Methods A total of 128 children with inguinal cryptorchidism admitted to Jinhua Maternal and Child Health Hospital from June 2024 to March 2025 were enrolled in this study.Using a randomized digital table method,the children were divided into observation group(n=64)and control group(n=64).The observation group underwent single-port laparoscopy assisted testicular fixation surgery,while control group received conventional three-port laparoscopy surgery.Intraoperative blood loss,surgical duration,hospitalization time,hospitalization costs,and incision length,differences in inflammatory markers,pain stress indicators,sex hormone levels,and complications were compared between two groups.Results Compared to control group,the surgical duration and postoperative hospitalization time were shorter in observation group,intraoperative blood loss was lower in observation group,incision length was shorter in observation group,hospitalization costs was higher in observation group,and vancouver scar scale scores was lower in observation group(P＜0.05).One day postoperatively,interleukin-6,superimposed C-reactive protein,and prostaglandin E2 were increased compared to pre-treatment levels in both groups.The reduction in observation group was more significant than that in control group(P＜0.05).One day postoperatively,levels of neuropeptide Y,nerve growth factor,and substance P were decreased in both groups.The increase in observation group was more pronounced than that in control group(P＜0.05).Conclusion Single-port laparoscopy is used for pediatric inguinal cryptorchidism with the advantages of minimally invasive,safety and fast recovery.It can effectively reduce postoperative inflammation and pain response,and does not affect sex hormone level and testicular development,with high clinical application value.
