PDF(Pubmed)
Abstract：
UNASSIGNED: This study performed a systematic review and meta-analysis to compare the outcomes of the staged laparoscopic Fowler-Stephens Laparoscopic Orchiopexy (FSLO) and Staged Laparoscopic Traction Orchiopexy (SLTO) in patients with intra-abdominal testes (IAT).
UNASSIGNED: This study reviewed literature published from 2016 to 2024. A systematic literature search was conducted on three databases: PubMed, ScienceDirect, and Google Scholar, using keywords (High intra abdominal testis) AND ((\"Fowler Stephens laparoscopic orchiopexy\" OR (FSLO)) OR (Staged Laparoscopic traction orchiopexy OR (SLTO)). Non-randomized trials and observational studies comparing staged laparoscopic FSLO and SLTO, without any time range restriction are included. Studies without FLSO orchidopexy as a control, case reports, case studies, duplicate publication, no full text and non-English studies are excluded. This study used the PRISMA protocol, the Jadad Scale, and the Newcastle Ottawa Scale (NOS) to evaluate the included studies. To analyze statistical data, the Review Manager (RevMan) software was used. The Chi-squared test was used to calculate statistical heterogeneity in the meta-analysis.
UNASSIGNED: There were 240 patients from 5 studies (109 in the SLTO group and 131 FSLO in group). The primary outcome of this study is testicular descent and atrophy. There were no significant differences in testicular descent (RR:1.08[0.96 - 1.23],p<0.20,I 2:0%) and atrophy rate (RR:0.45[0.19 - 1.09],p<0.08,I 2:0%). Secondary outcomes are the duration of operation in both the first and second stages. Statistical analysis reveals a significantly lower first-stage operation time in the FSLO group (MD:9.31[7.08,11.55], p<0.05;I 2:94%). At the same time, lower second-stage operation times are significantly reported in the SLTO group (MD:-4.05[-7.99,-0.12],p<0.05; I 2:60%).
UNASSIGNED: In terms of testicular descent and testicular atrophy the SLTO technique yields similar results to the FSLO technique. Both techniques have advantages and disadvantages, and we recommend SLTO as the first choice in children with a high IAT of <4 cm.
UNASSIGNED: CRD42023412407.
UNASSIGNED: This study reviewed literature published from 2016 to 2024. A systematic literature search was conducted on three databases: PubMed, ScienceDirect, and Google Scholar, using keywords (High intra abdominal testis) AND ((\"Fowler Stephens laparoscopic orchiopexy\" OR (FSLO)) OR (Staged Laparoscopic traction orchiopexy OR (SLTO)). Non-randomized trials and observational studies comparing staged laparoscopic FSLO and SLTO, without any time range restriction are included. Studies without FLSO orchidopexy as a control, case reports, case studies, duplicate publication, no full text and non-English studies are excluded. This study used the PRISMA protocol, the Jadad Scale, and the Newcastle Ottawa Scale (NOS) to evaluate the included studies. To analyze statistical data, the Review Manager (RevMan) software was used. The Chi-squared test was used to calculate statistical heterogeneity in the meta-analysis.
UNASSIGNED: There were 240 patients from 5 studies (109 in the SLTO group and 131 FSLO in group). The primary outcome of this study is testicular descent and atrophy. There were no significant differences in testicular descent (RR:1.08[0.96 - 1.23],p<0.20,I 2:0%) and atrophy rate (RR:0.45[0.19 - 1.09],p<0.08,I 2:0%). Secondary outcomes are the duration of operation in both the first and second stages. Statistical analysis reveals a significantly lower first-stage operation time in the FSLO group (MD:9.31[7.08,11.55], p<0.05;I 2:94%). At the same time, lower second-stage operation times are significantly reported in the SLTO group (MD:-4.05[-7.99,-0.12],p<0.05; I 2:60%).
UNASSIGNED: In terms of testicular descent and testicular atrophy the SLTO technique yields similar results to the FSLO technique. Both techniques have advantages and disadvantages, and we recommend SLTO as the first choice in children with a high IAT of <4 cm.
UNASSIGNED: CRD42023412407.
摘要：
■本研究进行了系统评价和荟萃分析，以比较腹腔镜Fowler-Stephens腹腔镜下睾丸固定术（FSLO）和腹腔镜下牵引固定术（SLTO）在腹内睾丸（IAT）患者中的疗效。
■本研究回顾了2016年至2024年发表的文献。在三个数据库上进行了系统的文献检索：PubMed，ScienceDirect,和谷歌学者，使用关键词（腹内高睾丸）和（（“FowlerStephens腹腔镜睾丸固定术”或（FSLO））或（分期腹腔镜牵引睾丸固定术或（SLTO））。比较分期腹腔镜FSLO和SLTO的非随机试验和观察性研究，没有任何时间范围限制都包括在内。没有FLSO睾丸固定术作为对照的研究，病例报告,案例研究,重复出版物,不排除全文和非英语研究。这项研究使用了PRISMA协议，Jadad量表,和纽卡斯尔渥太华量表(NOS)对纳入研究进行评价。为了分析统计数据，使用ReviewManager(RevMan)软件。在荟萃分析中使用卡方检验来计算统计异质性。
■来自5项研究的240例患者（SLTO组109例，FSLO组131例）。这项研究的主要结果是睾丸下降和萎缩。睾丸下降没有显着差异（RR：1.08[0.96-1.23]，p<0.20，I2：0%）和萎缩率（RR：0.45[0.19-1.09]，p<0.08，I2：0%)。次要结果是第一阶段和第二阶段的手术持续时间。统计分析显示FSLO组的第一阶段手术时间显着降低（MD：9.31[7.08,11.55]，p<0.05；I2：94%）。同时,SLTO组的第二阶段手术时间较低（MD：-4.05[-7.99，-0.12]，p<0.05；I2：60%)。
■在睾丸下降和睾丸萎缩方面，SLTO技术产生与FSLO技术相似的结果。这两种技术都有优点和缺点，我们建议SLTO作为IAT高<4厘米的儿童的首选。
■CRD42023412407。
■本研究回顾了2016年至2024年发表的文献。在三个数据库上进行了系统的文献检索：PubMed，ScienceDirect,和谷歌学者，使用关键词（腹内高睾丸）和（（“FowlerStephens腹腔镜睾丸固定术”或（FSLO））或（分期腹腔镜牵引睾丸固定术或（SLTO））。比较分期腹腔镜FSLO和SLTO的非随机试验和观察性研究，没有任何时间范围限制都包括在内。没有FLSO睾丸固定术作为对照的研究，病例报告,案例研究,重复出版物,不排除全文和非英语研究。这项研究使用了PRISMA协议，Jadad量表,和纽卡斯尔渥太华量表(NOS)对纳入研究进行评价。为了分析统计数据，使用ReviewManager(RevMan)软件。在荟萃分析中使用卡方检验来计算统计异质性。
■来自5项研究的240例患者（SLTO组109例，FSLO组131例）。这项研究的主要结果是睾丸下降和萎缩。睾丸下降没有显着差异（RR：1.08[0.96-1.23]，p<0.20，I2：0%）和萎缩率（RR：0.45[0.19-1.09]，p<0.08，I2：0%)。次要结果是第一阶段和第二阶段的手术持续时间。统计分析显示FSLO组的第一阶段手术时间显着降低（MD：9.31[7.08,11.55]，p<0.05；I2：94%）。同时,SLTO组的第二阶段手术时间较低（MD：-4.05[-7.99，-0.12]，p<0.05；I2：60%)。
■在睾丸下降和睾丸萎缩方面，SLTO技术产生与FSLO技术相似的结果。这两种技术都有优点和缺点，我们建议SLTO作为IAT高<4厘米的儿童的首选。
■CRD42023412407。
