Laparoscopic access in the treatment of palpable cryptorchidism (review)

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Abstract

The standard approaches in the treatment of palpable cryptorchidism are transinguinal and transscrotal, which allows achieving a high success bring the testis down to the bottom of the scrotum. However, variants of high retention of palpable cryptorchidism, in which the use of a standard set of surgical techniques for orchidofuniculolysis does not provide free descent of the testis into the scrotum without tension of the spermatic cord. The described clinical variants prompted scientists to look for alternative approaches that allow high mobilization of testicular vessels to fix the testicle in the scrotum without tension of the spermatic cord.

The analysis of literature using the database eLibrary, PubMed, Scopus, CyberLeninka, RSCI, published before 1.05.2023. The search was performed by keywords: "inguinal cryptorchidism", "palpable cryptorchidism", "children", "laparoscopy".

This literature review presents the results of the use of laparoscopic access in the treatment of children with palpable cryptorchidism, reflects the advantages and disadvantages of using minimally invasive surgery.

Currently, there are no national clinical guidelines mentioning the possibility of using laparoscopic access in the treatment of palpable forms of cryptorchidism, however, the number of publications that have appeared in recent years on the results of using access in the treatment of palpable cryptorchidism suggests that in the foreseeable future laparoscopy will be offered for use as an effective and safe alternative to traditional transinguinal and transscrotal access or in addition to them.

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About the authors

Abrorjon A. Isroilov

Tashkent Pediatric Medical Institute

Author for correspondence.
Email: abrorjon3112@gmail.com
ORCID iD: 0000-0002-9640-3490

MD

Узбекистан, Tashkent

Nail R. Akramov

Russian Medical Academy of Continuous Professional Education; Republic Childrens Hospital

Email: aknail@rambler.ru
ORCID iD: 0000-0001-6076-0181
SPIN-code: 9243-3624

MD, Dr. Sci. (Medicine), Professor

Россия, Moscow; Kazan

Vladimir V. Sizonov

Rostov State Medical University; Regional Children's Clinical Hospital

Email: vsizonov@mail.ru
ORCID iD: 0000-0001-9145-8671
SPIN-code: 2155-5534

MD, Dr. Sci. (Medicine), Professor

Россия, Rostov-on-Don; Rostov-on-Don

Askhab Kh-A. Shidaev

Rostov State Medical University; Regional Children's Clinical Hospital

Email: shidaev.a.kh@mail.ru
ORCID iD: 0000-0002-8634-6453
SPIN-code: 8427-8260

MD

Россия, Rostov-on-Don; Rostov-on-Don

Akmal A. Rakhmatullaev

Tashkent Pediatric Medical Institute

Email: akmalrakhmatullaev@mail.ru
ORCID iD: 0000-0003-4408-5723
SPIN-code: 7130-1544

MD, Dr. Sci. (Medicine)

Узбекистан, Tashkent

References

  1. Cortesi N, Ferrari P, Zambarda E, et al. Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy. 1976;8(1):33-34. doi: 10.1055/s-0028-1098372
  2. Docimo SG, Moore RG, Adams J, Kavoussi LR. Laparoscopic orchiopexy for the high palpable undescended testis: Preliminary experience. J Urol. 1995;154(4):1513-1515.
  3. Riquelme M, Aranda A, Rodriguez C, et al. Laparoscopic orchiopexy for palpable undescended testes: A five-year experience. J Laparoendosc Adv Surg Tech A. 2006;16(3):321-324. doi: 10.1089/lap.2006.16.321
  4. He D, Lin T, Wei G, et al. Laparoscopic orchiopexy for treating inguinal canalicular palpable undescended testis. J Endourol. 2008;22(8):1745-1749. doi: 10.1089/end.2007.0315
  5. Escarcega-Fujigaki P, Rezk GH, Huerta-Murrieta E, et al. Orchiopexy-laparoscopy or traditional surgical technique in patients with an undescended palpable testicle. J Laparoendosc Adv Surg Tech A. 2011;21(2):185-187. doi: 10.1089/lap.2010.0145
  6. Lu RG, Ma G, Zhu HB, Chen CJ. [Transumbilical single-site laparoscopic orchiopexy for inguinal cryptorchidism in children: Report of 33 cases. (In Chinese)] Zhonghua Nan Ke Xue. 2014;20(11):1025-1028.
  7. Elderwy AA, Kurkar A, Abdel-Kader MS, et al. Laparoscopic versus open orchiopexy in the management of peeping testis: A multi-institutional prospective randomized study. J Pediatr Urol. 2014;10(4):605-609. doi: 10.1016/j.jpurol.2014.06.006
  8. Riquelme M, Elizondo RA, Aranda A. Palpable undescended testes: 15 years of experience and outcome in laparoscopic orchiopexy. J Endourol. 2015;29(9):978-982. doi: 10.1089/end.2015.0118
  9. You J, Li G, Chen H, et al. Laparoscopic orchiopexy of palpable undescended testes--experience of a single tertiary institution with over 773 cases. BMC Pediatr. 2020;20(1):124. doi: 10.1186/s12887-020-2021-6
  10. Yang Z, Li S, Zeng H, et al. Laparoscopic orchiopexy versus open orchiopexy for palpable undescended testis in children: A prospective comparison study. J Laparoendosc Adv Surg Tech A. 2020;30(4):453-457. doi: 10.1089/lap.2019.0607
  11. Daboos MA, Mahmoud MA, Gouda S, et al. Safety and efficacy of laparoscopic management of intracanalicular testes in pediatrics. J Laparoendosc Adv Surg Tech A. 2021;31(11):1351-1355. doi: 10.1089/lap.2021.0415
  12. Gu S, Wang Y, Luo H. Comparison of laparoscopic orchiopexy and traditional inguinal incision orchiopexy for palpable undescended testes in cryptorchidism. J Laparoendosc Adv Surg Tech A. 2021;31(5):598-603. doi: 10.1089/lap.2020.0832
  13. Wang Y, Chen L, Cui X, et al. Clinical effect of minimally invasive surgery for inguinal cryptorchidism. BMC Surg. 2021;21(1):21. EDN: TGDWZQ doi: 10.1186/s12893-020-01010-4
  14. Anand S, Krishnan N, Pogorelić Z. Utility of laparoscopic approach of orchiopexy for palpable cryptorchidism: A systematic review and meta-analysis. Children (Basel). 2021;8(8):677. doi: 10.3390/children8080677

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