Comparision of single-port and two-port laparoscopic extraperitoneal patent processus vaginalis ligation in the treatment of pediatric hydrocele

doi:10.3877/cma.j.issn.1674-3253.2020.05.008

Abstract

Abstract:

Objective

To compare the effect of single-port and two-port laparoscopic extraperitoneal ligation of patent processus vaginalis (PPV) in the treatment of pediatric hydrocele.

Methods

From August 2018 to March 2020, single-port laparoscopy was performed with an epidural needle and two prolene lines for extraperitoneal ligation of the PPV for the treatment of pediatric hydrocele. Group A: 200 patients received single-port laparoscopic ligation, Group B: 200 patients received two-port laparoscopic ligation as control.

Results

All the 400 patients were successfully performed laparoscopic PPV ligation without transposition, no spermatic cord injury, no subcutaneous hematoma, and no scrotal edema was found. Two cases of port-site hernia were found in group B. The operation time [unilateral (14.62±3.20) vs (19.29±2.12) min, bilateral (23.82±5.24) vs (29.93±5.22) min], postoperative hospital stay [(2.98±0.38) vs (3.26±0.54 )d] of group A were significantly shorter than group B. After 3-12 months of follow-up, there was no tissue reaction, no incision infection and recurrence. There was no statistical difference in postoperative complications between group A and group B.

Conclusion

Single-port laparoscopy with epidural needle and prolene line for extraperitoneal ligation of the PPV in the treatment of pediatric hydrocele has the advantages of being minimally invasive, safe, effective. This procedure could be recommended for treatment of pediatric hydrocele.

Key words: Single port, Laparoscopy, Pediatric hydrocele, Extraperitoneal

Shaodong Gu, Yingxun Wang, Hong Luo. Comparision of single-port and two-port laparoscopic extraperitoneal patent processus vaginalis ligation in the treatment of pediatric hydrocele[J]. Chinese Journal of Endourology(Electronic Edition), 2020, 14(05): 351-355.

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References 16

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	例数	左侧(例)	右侧(例)	年龄(月，±s)
A组	200	70	130	38±15
B组	200	85	115	37±12
统计值		χ²=2.370^‡		t=1.146^*
P值		0.124		0.252

	例数	左侧(例)	右侧(例)	年龄(月，±s)
A组	200	70	130	38±15
B组	200	85	115	37±12
统计值		χ²=2.370^‡		t=1.146^*
P值		0.124		0.252

		A组	B组	统计值	P值
术中诊断为双侧(例)		163	179	χ²=5.162	0.023
手术时间(min，±s)
	单侧	14.62±3.20	19.29±2.12	t=5.963	<0.001
	双侧	23.82±5.24	29.93±5.22	t=10.795	<0.001
术后住院天数(d，±s)		2.98±0.38	3.26±0.54	t=5.919	<0.001
手术短期并发症(例)				-	0.156
	阴囊血肿	0	0
	阴囊水肿	0	0
	切口感染	0	0
	切口疝	0	2
	精索损伤	0	0
术后随访3～12个月(例)				-	0.571
	睾丸萎缩	0	0
	复发	2	1
	肠粘连肠梗阻	0	0
	缝线反应	0	0

		A组	B组	统计值	P值
术中诊断为双侧(例)		163	179	χ²=5.162	0.023
手术时间(min，±s)
	单侧	14.62±3.20	19.29±2.12	t=5.963	<0.001
	双侧	23.82±5.24	29.93±5.22	t=10.795	<0.001
术后住院天数(d，±s)		2.98±0.38	3.26±0.54	t=5.919	<0.001
手术短期并发症(例)				-	0.156
	阴囊血肿	0	0
	阴囊水肿	0	0
	切口感染	0	0
	切口疝	0	2
	精索损伤	0	0
术后随访3～12个月(例)				-	0.571
	睾丸萎缩	0	0
	复发	2	1
	肠粘连肠梗阻	0	0
	缝线反应	0	0

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