Single-incision multiport laparoscopic orchidopexy: initial report

LaparoEndoscopic Single Site Orchidopexy for Intra-Abdominal Testes in the Pediatric Population with a Multichannel Single Port and Flexible Tip Laparoscope

“…No trocar was used for the delivery of the testis into the scrotum as reported by others, avoiding an added cost. 9,10 No postoperative narcotics were needed in our early experience with this technique.…”

“…Recently, LESS orchidopexy has been reported describing various techniques. [8][9][10][11] At our institution, LESS surgery has been recently utilized for pediatric urological procedures, including orchidopexy. To the best of our knowledge, we report the first and largest series utilizing a MCSP and FTL for LESS orchidopexy in the pediatric population.…”

“…The laparoscopic time was shorter in our series compared to other previous reports. [9][10][11] Raju et al reported a technique using standard trocars through a single umbilical incision with an intra-abdominal time of 126 minutes. 9 Utilization of the MCSP may have contributed to a shorter operative time in our experience.…”

“…10 FTLs, MCSPs, and curved instruments were not available for use in their country at the time of their reported experience. Utilizing the FTL may have provided a technical advantage reducing operative time by enabling different options for visualization that cannot be obtained with a rigid laparoscope, especially through the same entry site for instruments.…”

Laparoendoscopic single site orchiopexy

“…A report from Brazil [3] describes a multiport, single site orchiopexy, whereas another report [4] suggests that the procedure has been successfully performed but does not provide details of the technique or case. This is the first case report to provide a detailed description of a laparoendoscopic single site intraabdominal orchiopexy, and this information may be useful for pediatric urologists interested in this technique.…”