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| Clinical Analysis of Laparoscopic Radical Orchiectomy in the Treatment of Testicular Tumors |
| HAN Hu, TIAN Long, LEI Hong-en, et al |
| Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020 |
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Abstract 【Objective】 To assess the feasibility and outcomes of laparoscopic radical orchiectomy in the management of testicular tumor. 【Methods】 From October 2019 to September 2020, 7 patients with testicular tumor in our hospital were retrospectively analyzed. All patients successfully underwent laparoscopic radical orchiectomy under general anesthesia. The peritoneum was incised above the inner ring, the vas deferens and spermatic cord were ligated respectively, the spermatic cord was pulled out and the testis was removed, and the peritoneum incision was sutured. The operation time, hospital stay and complications were recorded. The levels of tumor markers including alpha fetoprotein (AFP), human chorionic gonadotropin (HCG) and lactate dehydrogenase (LDH) were compared before and after operation. 【Results】 The average operation time of 7 young patients was (103.9±25.8) min, and the average length of stay was (6.6±1.9) d, intraoperative blood loss was (12.1±5.7)mL. According to Clavien Dindo evaluation, there were 2 cases of grade I postoperative complications, including 1 case of subcutaneous emphysema during operation, which subsided spontaneously on the second day after operation, 1 case of postoperative wound pain, which needed analgesic treatment, and no grade Ⅱ-Ⅴ complications were found. There were no postoperative complications such as wound infection, urinary tract infection, abdominal pain, inguinal hernia and intestinal obstruction. The average follow-up time was (6.1±4.7) months, no local tumor recurrence and distant metastasis. There was significant difference in HCG level before and after operation (P<0.05), but no significant difference in AFP and LDH level (P>0.05).【Conclusion】 Laparoscopic radical orchiectomy is technically feasible, safe, and effective.
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Received: 19 November 2020
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2021, Vol. 38 
