Ligation-free single scrotal incision orchiectomy with ultrasonic scalpel: Xinhua Zhang Procedure
1Department of Urology, Zhongnan Hospital of Wuhan University, 430071 Wuhan, P. R. China
Online publish date: 28 January 2021
Background: To explore the eﬃcacy and safety of a new type of testicular excision with ultrasonic dissector.
Methods: A retrospective analysis was performed on 69 patients with advanced prostate cancer undergoing orchiectomy in our hospital between June 2017 and June 2019. All patients were divided into a traditional surgery group (n = 27) and an ultrasonic scalpel surgery group (n = 42). The operation time, intraoperative blood loss, postoperative hospital stay and postoperative complication rates were compared.
Results: The ultrasonic scalpel surgery group had signiﬁcantly shorter operation times and less intraoperative blood loss than the traditional surgery group (each P < 0.01). Moreover, the incidence of postoperative complication differed signiﬁcantly between the traditional surgery group (18.52%) and the ultrasonic scalpel surgery group (0%) (P < 0.01). However, there was no signiﬁcant difference in postoperative hospital stay between the two groups (P > 0.05).
Conclusions: The surgery time for testicular excision using the ultrasonic knife is short, the operation is simple and the complications are few and thus it may become a form of replacement for traditional testicular excision.
Ultracision; Orchiectomy; Novel procedure
Yan Li,Dao-Quan Liu,Hassan Mkoko Hassan,Xing-Huan Wang,Xin-Hua Zhang. Ligation-free single scrotal incision orchiectomy with ultrasonic scalpel: Xinhua Zhang Procedure. Journal of Men's Health. 2021.doi:10.31083/jomh.2021.010.
 Srivatsav A, Balasubramanian A, Butaney M, Thirumavalavan N, McBride JA, Gondokusumo J, et al. Patient attitudes toward testicular prosthesis placement after orchiectomy. American Journal of Men’s Health. 2019; 13: 155798831986101.
 Dowling CM, Assel M, Musser JE, Meeks JJ, Sjoberg DD, Bosl G, et al. Clinical outcome of retroperitoneal lymph node dissection after chemotherapy in patients with pure embryonal carcinoma in the orchiectomy specimen. Urology. 2018; 114: 133-138.
 Paffenholz P, Pfister D, Heidenreich A. Postchemotherapy residual tumour resection in complex metastatic sites of advanced testicular germ cell tumours. Urologe-Ausgabe A. 2016; 55: 632-640.
 Hicks N, Gupta S. Complications and risk factors in elective benign scrotal surgery. Scandinavian Journal of Urology. 2016; 50: 468-471.
 Jiang J, Shen M, Lu H. Ultrasonic scalpel with knot tying protects parathyroid function for total thyroidectomy with central neck dissection. Gland Surgery. 2020; 9: 192-199.
 Morino M, Rimonda R, Allaix ME, Giraudo G, Garrone C. Ultrasonic versus standard electric dissection in laparoscopic colorectal surgery: a prospective randomized clinical trial. Annals of Surgery. 2005; 242: 897-901.
 Salami A, Dellepiane M, Bavazzano M, Crippa B, Mora F, Mora R. New trends in head and neck surgery: a prospective evaluation of the Harmonic Scalpel. Medical Science Monitor. 2008; 14: PI1-PI5.
 Caronia FP, Arrigo E, Trovato S, Lo Monte AI, Cottone S, Sgalambro F, et al. Uniportal bilateral video-assisted sequential thoracoscopic extended thymectomy. Journal of Visualized Surgery. 2017; 3: 69.
 Bapat S, Mahajan PM, Bhave AA, Kshirsagar YB, Sovani YB, Mulay A. Prospective randomised controlled trial comparing sub-epididymal orchiectomy versus conventional orchiectomy in metastatic carcinoma of prostate. The Indian Journal of Surgery. 2011; 73: 175-177.
 Selvi I, Basar H. Subcapsular orchiectomy versus total orchiectomy and LHRH analogue in the treatment of hormone-sensitive metastatic prostate cancer: a different perspective in evaluation of the psychoso-cial effects. Supportive Care in Cancer. 2020; 28: 4313-4326.
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