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David et al: Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs
Veterinary Surgery 3, 2024

🔍 Key Findings

  • Single-port laparoscopic-assisted cryptorchidectomy (SP-LAC) was feasible in 13/14 dogs with abdominal cryptorchidism.
  • Median surgical time was 17 min for unilateral and 27 min for bilateral cryptorchidectomy.
  • All testes were successfully exteriorized through a 15-mm mini-celiotomy in most dogs; only 2 needed slight enlargement.
  • One major complication occurred (testicular artery hemorrhage, requiring conversion to open surgery).
  • Two minor complications involved trocar-related issues (splenic capsule laceration, capnoretroperitoneum).
  • No incisional complications were reported postoperatively; some dogs had mild dermatitis at the clipped site.
  • The technique requires only one surgeon and no advanced tools beyond a single-port endoscope.
  • Low-pressure capnoperitoneum (6 mmHg) was adequate for visualization in most cases.

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← Articles

David et al: Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs
Veterinary Surgery 3, 2024

🔍 Key Findings

  • Single-port laparoscopic-assisted cryptorchidectomy (SP-LAC) was feasible in 13/14 dogs with abdominal cryptorchidism.
  • Median surgical time was 17 min for unilateral and 27 min for bilateral cryptorchidectomy.
  • All testes were successfully exteriorized through a 15-mm mini-celiotomy in most dogs; only 2 needed slight enlargement.
  • One major complication occurred (testicular artery hemorrhage, requiring conversion to open surgery).
  • Two minor complications involved trocar-related issues (splenic capsule laceration, capnoretroperitoneum).
  • No incisional complications were reported postoperatively; some dogs had mild dermatitis at the clipped site.
  • The technique requires only one surgeon and no advanced tools beyond a single-port endoscope.
  • Low-pressure capnoperitoneum (6 mmHg) was adequate for visualization in most cases.

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Multiple Choice Questions on this study

In David 2024 et al., on single-port cryptorchidectomy, which location was chosen for laparoscopic port placement?

A. Left caudal abdomen
B. Over the umbilicus
C. Parapreputial right side
D. Prepubic midline
E. Ventral flank

Answer: Prepubic midline

Explanation: A 12-mm cannula was placed cranial to the prepuce in the ventral midline.
In David 2024 et al., on single-port cryptorchidectomy, what was the most common method used for transection of the spermatic cord?

A. Surgical clips
B. Laser coagulation
C. Vessel-sealing device (VSD)
D. Suture ligation (SL)
E. Cautery

Answer: Suture ligation (SL)

Explanation: 10 of 14 dogs underwent SL compared to only 4 with VSD.
In David 2024 et al., on single-port cryptorchidectomy, what was the median surgical time for unilateral abdominal cryptorchidectomy?

A. 21 minutes
B. 19 minutes
C. 17 minutes
D. 15 minutes
E. 23 minutes

Answer: 17 minutes

Explanation: Median surgical time for unilateral SP-LAC was reported as 17 minutes.
In David 2024 et al., on single-port cryptorchidectomy, why was a 6 mmHg capnoperitoneum preferred?

A. It reduced pain and bleeding
B. It improved visualization of cranial structures
C. It facilitated exteriorization through higher pressure
D. It minimized peritoneal trauma
E. It maintained adequate workspace with minimal pressure

Answer: It maintained adequate workspace with minimal pressure

Explanation: 6 mmHg was found sufficient for caudal visualization without compromising space.
In David 2024 et al., on single-port cryptorchidectomy, what was the most severe complication reported?

A. Pneumoretroperitoneum
B. Splenic capsule tear
C. Conversion to open surgery due to hemorrhage
D. Surgical site dermatitis
E. Port site infection

Answer: Conversion to open surgery due to hemorrhage

Explanation: Testicular artery hemorrhage required conversion in one case.

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