N.R. AKRAMOV^{1, 2}, V.V. SIZONOV³, I.M. KAGANTSOV⁴, A.K. ZAKIROV², A.I. GALLYAMOVA¹, M.E. ZUEV⁵

¹Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012

²Children’s Republican Clinical Hospital, 140 Orenburgskiy trakt, Kazan, Russian Federation, 420138

³Rostov State Medical University, 29 Nakhichevanskiy pereulok, 344022, Rostov-on-Don, Russian Federation, 420138

⁴Syktyvkar State University named after Peterim Sorokin, 55 Oktyabrskiy prospekt, Syktyvkar, Russian Federation, 167001

⁵Children’s City Hospital No. 19 named after K.A. Raukhfus, 8 Ligovskiy prospekt, St. Petersburg, Russian Federation, 193036

 Akramov N.R. — D. Med. Sc., Professor of the Department of Pediatric Surgery, tel. +7-917-253-77-20, e-mail: aknail@rambler.ru

Sizonov V.V. — D. Med. Sc., Professor of the Department of Urology and Human Reproductive Health with a course of pediatric urology-andrology postgraduate education, tel. +7-928-229-37-05, e-mail: vsizonov@mail.ru

Kagantsov I.M. — D. Med. Sc., Professor of the Department of Surgical Diseases, tel. +7-912-861-23-41, e-mail: ilkagan@rambler.ru

Zakirov A.K. — Cand. Med. Sc., doctor of the Urology Department, tel. +7-960-042-67-67, e-mail: dwc@yandex.ru

Gallyamova A.I. — postgraduate student of the Department of Pediatric Surgery, tel. +7-960-040-68-58, e-mail: abachtiarova@yandex.ru

Zuev M.E. — children’s surgeon, tel. +7-921-867-69-64, e-mail: doctorzuev@gmail.com

 The article presents the treatment results of 141 boys with impalpable testis and modern views on the surgical correction methods. The new treatment algorithm of the patients with this pathology is described. The completely new surgical procedures for the impalpable testis are shown: single port laparoscopic orchopexy (one- and two-stage) and single port laparoscopic orchiectomy. A comparative analysis of different methods of surgical treatment of the impalpable testis was performed: open (99), laparoscopic SILS (19) and single port (23) approaches. For the first time, the possibilities of a single port laparoscopic surgery for a cryptorchidism have been demonstrated. The obtained positive results (the length of hospitalization, operation duration and its effect on the volume and blood supply of the testis) show good prospects for using single port laparoscopy.

Key words: cryptorchidism, children, laparoscopy, orchopexy, orchiectomy.

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