Outcomes of single-stage laparoscopic orchiopexy for the treatment of intra-abdominal undescended testes

Tóm tắt

Single-stage laparoscopic orchiopexy is a common treatment option for intra-abdominal undescended testes with sufficiently long spermatic vessels. This technique has been routinely performed at many major pediatric surgical centers, including the Viet Nam National Children’s Hospital. A retrospective study was conducted to evaluate the outcomes of single-stage laparoscopic orchiopexy for intra-abdominal undescended testes at the National Children’s Hospital from January 2021 to June 2024. A total of 41 patients with 45 testes underwent surgery; the median age was 31 months old (11 - 137). All testes were located in the lower abdomen, and most were associated with a patent deep inguinal ring (77.8%; 10 cases not described). No intraoperative or early postoperative complication was recorded. Twenty-six patients with 30 testes were followed up for an average duration of 19.6 ± 9.8 months; among them, 24 testes (80%) were located in the scrotum, 5 testes (16.7%) were positioned high, and 1 testis (3.3%) was atrophic. Postoperative testicular volume increased significantly compared with preoperative values (p < 0.05). No late complication was observed during follow-up. The single-stage vessel-sparing laparoscopic orchiopexy is a safe and effective procedure for the treatment of intra-abdominal undescended testes. Further studies with larger sample sizes and appropriate control groups are needed to comprehensively evaluate the overall efficacy of this technique.