Single-incision multiport laparoscopic orchidopexy: initial report

Purpose: We report the first use of single-incision multiport access to perform 1-stage laparoscopic orchidopexy in children without section of the spermatic vessels. Material and methods: Three boys with cryptorchidism were submitted to primary laparoscopic I-stage orchidopexy by using 3 ports (a 10-min [or 5-mm] port placed using open technique and 2 additional 5-mm [or 3-mm] ports) inserted through the same periumbilical skin incision with different entrances through the abdominal wall. After dissection of the testicular vessels and vas deferens, a 5-mm port was placed in a tunnel from the scrotum to pull the remnant of the gubernaculum down and fix the testicle in a dartos pouch. Results: The mean operative time was 83.3 minutes. The estimated blood loss was almost nil, and there were no intraoperative complications. Conclusion: This approach was feasible and safe. However, as with any new technique, its use requires a larger number of cases and a longer follow-up to fully evaluate its benefits and limitations. (C) 2009 Elsevier Inc. All rights reserved.