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Conference Paper: Single-port laparoscoic varicocelectomy induces minmal post-operative stress response in children

TitleSingle-port laparoscoic varicocelectomy induces minmal post-operative stress response in children
Authors
Issue Date2011
PublisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/lap
Citation
The IPEG's 20th Annual Congress for Endosurgery in Children, Prague, Czech Republic, 3-7 May 2011. In Journal of Laparoendoscopic & Advanced Surgical Techniques, 2011, v. 21 n. 4, p. A-61-A-62, abstract no. P073 How to Cite?
Abstract
Purpose: Single incision laparoscopic surgery has recently been described in children and regarded as an improved technology leading to less pain and better cosmetic outcome. Compared with the traditional three-port method, it is not known if the single-port method is less invasive. The aim of this study was thus to investigate the post-operative acute inflammatory response in order to evaluate surgical stress in the two approaches in children. Methods: A prospective, single blinded, case control study was carried out. Fourteen male patients who presented with unilateral varicocele were divided into two groups. Seven children underwent single-port laparoscopic procedure while the other seven children underwent three-port laparoscopic procedure. Pre-operative and post-operative blood samples were taken for the measurement of tumor necrosis factor-a (TNF-a) and interleukin 6 (IL-6) using ELISA. Demographics including the operation time, and complications were recorded. Data were analyzed using unpaired t-test and a p value of <0.05 was taken as statistically significant. Results: The mean age of our patients was 14.5 years (range, 12–19 years). There was no significant difference between the two groups in terms of operative time, nor was there any complication recorded. The change in serum TNF-a concentration between pre- and post-operatively was 0.324 0.406 pg=ml in the single-port group and 0.329 0.952 pg=ml in the three-port group (p¼0.990). For serum IL-6, the change in pre-operative and postoperative levels was 0.151 0.392 pg=ml and 0.097 0.929 pg=ml (p¼0.899) for the single-port group and three-port group respectively. Conclusions: Single-port laparoscopic varicocelectomy is safe, effective and produces better cosmesis and minimal surgical stress.
DescriptionPoster session: Single-Incision Laparoscopic Surgery
Persistent Identifierhttp://hdl.handle.net/10722/137906
ISSN
2013 Impact Factor: 1.187

 

DC FieldValueLanguage
dc.contributor.authorHao, Wen_US
dc.contributor.authorLiu, Xen_US
dc.contributor.authorChan, IHYen_US
dc.contributor.authorChan, KLen_US
dc.contributor.authorTam, PKHen_US
dc.contributor.authorWong, KKYen_US
dc.date.accessioned2011-08-26T14:36:42Z-
dc.date.available2011-08-26T14:36:42Z-
dc.date.issued2011en_US
dc.identifier.citationThe IPEG's 20th Annual Congress for Endosurgery in Children, Prague, Czech Republic, 3-7 May 2011. In Journal of Laparoendoscopic & Advanced Surgical Techniques, 2011, v. 21 n. 4, p. A-61-A-62, abstract no. P073en_US
dc.identifier.issn1092-6429-
dc.identifier.urihttp://hdl.handle.net/10722/137906-
dc.descriptionPoster session: Single-Incision Laparoscopic Surgery-
dc.description.abstractPurpose: Single incision laparoscopic surgery has recently been described in children and regarded as an improved technology leading to less pain and better cosmetic outcome. Compared with the traditional three-port method, it is not known if the single-port method is less invasive. The aim of this study was thus to investigate the post-operative acute inflammatory response in order to evaluate surgical stress in the two approaches in children. Methods: A prospective, single blinded, case control study was carried out. Fourteen male patients who presented with unilateral varicocele were divided into two groups. Seven children underwent single-port laparoscopic procedure while the other seven children underwent three-port laparoscopic procedure. Pre-operative and post-operative blood samples were taken for the measurement of tumor necrosis factor-a (TNF-a) and interleukin 6 (IL-6) using ELISA. Demographics including the operation time, and complications were recorded. Data were analyzed using unpaired t-test and a p value of <0.05 was taken as statistically significant. Results: The mean age of our patients was 14.5 years (range, 12–19 years). There was no significant difference between the two groups in terms of operative time, nor was there any complication recorded. The change in serum TNF-a concentration between pre- and post-operatively was 0.324 0.406 pg=ml in the single-port group and 0.329 0.952 pg=ml in the three-port group (p¼0.990). For serum IL-6, the change in pre-operative and postoperative levels was 0.151 0.392 pg=ml and 0.097 0.929 pg=ml (p¼0.899) for the single-port group and three-port group respectively. Conclusions: Single-port laparoscopic varicocelectomy is safe, effective and produces better cosmesis and minimal surgical stress.-
dc.languageengen_US
dc.publisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/lap-
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.titleSingle-port laparoscoic varicocelectomy induces minmal post-operative stress response in childrenen_US
dc.typeConference_Paperen_US
dc.identifier.emailLiu, X: liuxl@hkucc.hku.hken_US
dc.identifier.emailChan, KL: klchan@hkucc.hku.hken_US
dc.identifier.emailTam, PKH: paultam@hku.hken_US
dc.identifier.emailWong, KKY: kkywong@hku.hken_US
dc.identifier.authorityTam, PKH=rp00060en_US
dc.identifier.authorityWong, KKY=rp01392en_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1089/lap.2011.9999-
dc.identifier.hkuros190159en_US
dc.identifier.volume21-
dc.identifier.issue4-
dc.identifier.spageA-61, abstract no. P073-
dc.identifier.epageA-62, abstract no. P073-
dc.publisher.placeUnited States-

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