Qin Chuying, Yang Jinrui, Zhang Ruochen, Yang Yaojin, Cai Wanghai, Li Tao, Zhu Qingguo, Ye Liefu, Gao Yunliang, Wei Yongbao
Department of Urology, The Second Xiangya Hospital of Central South University, Changsha, China.
Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Front Surg. 2022 Feb 24;9:804803. doi: 10.3389/fsurg.2022.804803. eCollection 2022.
To compare the middle-term efficacy and safety results between scrotoscope-assisted (SA) minimally invasive excision and traditional open excision (OE) for the treatment of epididymal mass.
A total of 253 males with surgery excision of epididymal mass from 2012 to 2018 were included in this retrospective study. Patients were divided into two groups: the traditional OE group and the SA group. Patient demographics and intraoperative and postoperative outcomes were obtained and compared between these two groups.
About 174 patients (68.8%) underwent SA, and the other 79 (31.2%) underwent OE. Demographic data were similar between the two groups. Compared with OE surgery, SA could significantly shorten the operating time (19.4 ± 4.1 vs. 53.8 ± 12.9 min), reduce blood loss (5.3 ± 1.5 vs. 21.3 ± 5.6 ml), and downsize the operative incision (1.5 ± 0.3 vs. 4.5 ± 0.8 cm). Additionally, postoperative complications were significantly less occurred in the SA group than those in OE (15.5% vs. 21.5%), in particular scrotal hematoma (1.7% vs. 12.7%) and incision discomfort (2.8% vs. 6.3%). Patients in the SA group had a significantly higher overall satisfaction score (94.8 ± 3.7 vs. 91.7 ± 4.9) and a significantly shorter length of hospital stay (4.1 ± 0.9 vs. 5.0 ± 1.5 days) than those in the OE group. No postoperative testicular atrophy occurred in the SA group.
SA is emerging as a novel and effective option with promising perspectives for epididymal mass therapy.
比较阴囊镜辅助（SA）微创切除术与传统开放切除术（OE）治疗附睾肿块的中期疗效和安全性结果。
本回顾性研究纳入了2012年至2018年期间共253例行附睾肿块手术切除的男性患者。患者分为两组：传统OE组和SA组。获取并比较两组患者的人口统计学数据以及术中、术后结果。
约174例患者（68.8%）接受了SA手术，另外79例（31.2%）接受了OE手术。两组的人口统计学数据相似。与OE手术相比，SA可显著缩短手术时间（19.4±4.1对53.8±12.9分钟），减少出血量（5.3±1.5对21.3±5.6毫升），并缩小手术切口（1.5±0.3对4.5±0.8厘米）。此外，SA组术后并发症的发生率明显低于OE组（15.5%对21.5%），尤其是阴囊血肿（1.7%对12.7%）和切口不适（2.8%对6.3%）。SA组患者的总体满意度评分显著更高（94.8±3.7对91.7±4.9），住院时间也明显短于OE组（4.1±0.9对5.0±1.5天）。SA组未发生术后睾丸萎缩。
SA正在成为一种新颖且有效的选择，在附睾肿块治疗方面具有广阔前景。
