腹腔镜单点供肾切除术后同侧睾丸疼痛,手术技术重要吗?单一中心经验与文献回顾。

IF 1.3 Q3 SURGERY
Minimally Invasive Surgery Pub Date : 2022-03-23 eCollection Date: 2022-01-01 DOI:10.1155/2022/3292048
Hany M El Hennawy, Abdullah S Al Faifi, Eisa Al Atta, Omar Safar, Saad Thamer, Weam El Nazer, Ahmed I Kamal, Abdelaziz A Abdelaziz, Shaher A Kawasmeh, Naveed Mirza, Mohammad F Zaitoun, Khalid Al-Alsheikh, Osama Shalkamy, Ahmed Mahedy
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引用次数: 0

摘要

目的:探讨腹腔镜单部位供肾切除术(LESS DN)后睾丸疼痛的发生率及特点。材料和方法:在我们的中心对所有男性供体进行左侧LESS DN (A组)和开放式肾切除术(B组)的前瞻性比较研究。回顾了患者的人口统计、围手术期数据和术后咨询报告。评估睾丸疼痛、肿胀、麻木、泌尿系统症状和性功能障碍。排除有阴囊病理史或手术史的患者。疼痛和压痛的评分标准为10分。结果:2017年9月至2020年12月,A组和B组男性患者分别有85例和35例符合评价标准。A组11例(15.3%),B组2例(9.5%)发生同侧睾丸疼痛。A组和B组大多在术后6±2.1天和4±1.1天开始出现轻至中度疼痛。A组6例经阴囊超声检查未见异常。两组患者均对药物治疗反应良好。结论:less DN后同侧睾丸疼痛通常是轻度和自限性的。术前患者教育和讨论睾丸疼痛发展的可能性及其管理应是腹腔镜肾切除术知情同意的一个组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-Laparoendoscopic Single-Site Donor Nephrectomy Ipsilateral Testicular Pain, Does Operative Technique Matter? A Single Center Experience and Review of Literature.

Aim: To assess incidence and characteristics of post-laparoendoscopic single-site donor nephrectomy (LESS DN) testicular pain.

Materials and methods: A prospective comparative study of all male donors post-left LESS DN (group A) vs. postopen nephrectomies (group B) was performed at our center. Patients' demographics, perioperative data, and postoperative consultation reports were reviewed. Testicular pain, swelling, numbness, urinary symptoms, and sexual dysfunction were evaluated. Patients with a history of scrotal pathology or surgical procedure were excluded. Pain and tenderness were scored on a standard 10-point scale.

Results: From September 2017 to December 2020, 85 and 35 male patients of groups A and B met the evaluation criteria. Ipsilateral testicular pain developed in 11 patients (15.3%) and 2 patients (9.5%) in groups A and B, respectively. In most instances, the pain was mild to moderate in severity, started after 6 ± 2.1 and 4 ± 1.1 days postoperatively in groups A and B, respectively. Six patients in group A were evaluated with transscrotal ultrasonography that showed no abnormalities. All patients in both groups responded well to medical treatment.

Conclusions: Post-LESS DN ipsilateral testicular pain is usually mild and self-limited. Preoperative patient education and discussion of the possibility of development of testicular pain and its management should be an integral component of laparoscopic donor nephrectomy informed consent.

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