Liu Xiaodong,Li Shoulin,WangHao,et al.Advantages and disadvantages of laparoscopic treatment of hydrocele in infants and children.[J].Journal of Clinical Pediatric Surgery,,17():538-541.
Advantages and disadvantages of laparoscopic treatment of hydrocele in infants and children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 07
Page:
538-541
Column:
论著
Date of publication:
2018-07-28
- Keywords:
- Laparoscopes; Testicular Hydrocele; Therapy; Comparative Study; Child
- Document code:
- A
- Abstract:
- ObjectiveTo explore the advantages and disadvantages of laparoscopy of hydrocele in infants and children.MethodsThe authors retrospectively analyzed 1 473 laparoscopic cases of hydrocele from January 2012 to January 2016 and compared them with 1 352 cases of open surgery from January 2005 to January 2010.ResultsThe operative duration of laparoscopic group versus open surgery group were as follows:unilateral 12.3±3.1 min vs 17.1±4.2 min (P<0.01) and bilateral 16.1±2.2 min vs 35.5±4.5 min (P<0.01); postoperative recurrence rate 0.4% and 0.6% (P>0.05); Other complications rate 0.4% and 0.7% (P>0.05) respectively.Both comparisons had significant statistical significances.In laparoscopic group,contralateral patent processus vaginalis accounted for 32.5%（453/1392）of preoperative unilateral hydrocele.There were postoperative onsets of recurrence (n=6,0.4%),scrotum hematoma (n=3,0.2%),supraumbilical incision dehiscence & omental bulging (n=2,0.1%) and suture knot reaction (n=2,0.1%); In open surgery group,recurrence (n=8,0.6%),scrotum hematoma (n=2,0.1%) and suture knot reaction (n=8,0.6%).No statistical significance existed in postoperative recurrence rate or other complications.No intestinal adhesion,viscera injury,infection of incision,iatrogenic cryptorchidism and testicular atrophy.There was no occurrence of intestinal adhesion,viscera injury,infection of incision,iatrogenic cryptorchidism or testicular atrophy.ConclusionLaparoscopy is the preferred treatment for hydrocele in infants and children.However,it can not entirely replace open surgery.
Last Update:
2018-07-24