{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:26:55Z","timestamp":1777890415958,"version":"3.51.4"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["Grant No. 82560892\u00a0\u00a0\u62e8\u6b3e\u7f16\u53f782560892"],"award-info":[{"award-number":["Grant No. 82560892\u00a0\u00a0\u62e8\u6b3e\u7f16\u53f782560892"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the therapeutic outcomes of a modified Shehata surgery with a condensed 4-week interstage interval vs. conventional laparoscopic one-stage orchiopexy for intra-abdominal cryptorchidism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed 70 children with unilateral intra-abdominal cryptorchidism (July 2020\u2013June 2022), allocated to modified Shehata (Group A,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200935) or one-stage orchiopexy (Group B,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200935). The modified procedure involved laparoscopic traction\/fixation followed by second-stage orchiopexy at 4 weeks. Primary outcomes were testicular volume and blood flow (Doppler) assessed at 1, 3, and 6 months postoperatively. Secondary outcomes included serum testosterone (T), estradiol (E2), follicle-stimulating hormone (FSH) at 6 months, complication rates, success rate, and total treatment cost.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline characteristics were comparable. Group A demonstrated significantly larger testicular volume at all postoperative timepoints (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05) and superior blood flow at 6 months (97.1% vs. 77.1% \u2018Rich\u2019 flow,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.032). Regarding secondary outcomes, Group A had more favorable 6-month hormonal profiles (higher T, lower FSH\/E2,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), a lower surgery-related complication rate (0% vs. 17.14%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.033), and a higher success rate (100% vs. 82.86%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.033), but incurred higher total cost (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The modified Shehata surgery with a 4-week interval yields superior testicular development, perfusion, endocrine function, and lower complications compared to one-stage orchiopexy, albeit at higher cost.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1764561","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:37:16Z","timestamp":1777613836000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified shehata surgery vs. laparoscopic One-stage orchiopexy for intra-abdominal cryptorchidism: a comparative retrospective study"],"prefix":"10.3389","volume":"13","author":[{"given":"Shiyu","family":"Xiong","sequence":"first","affiliation":[{"name":"Department of Pediatrics Surgery, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou City, Jiangxi, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiuqiong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Dazhou City Integrated Traditional and Western Medicine Hospital (Dazhou Second People\u2019s Hospital)","place":["Dazhou City, Sichuan, China"]},{"name":"Graduate School of Gannan Medical University","place":["Ganzhou City, Jiangxi, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Surgery, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou City, Jiangxi, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Surgery, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou City, Jiangxi, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linshan","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Surgery, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou City, Jiangxi, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Surgery, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou City, Jiangxi, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haijin","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Surgery, First Affiliated Hospital of Gannan Medical University","place":["Ganzhou City, Jiangxi, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1327957","DOI":"10.3389\/fendo.2024.1327957","article-title":"Surgical treatment of cryptorchidism: current insights and future directions","volume":"15","author":"Pakkasj\u00e4rvi","year":"2024","journal-title":"Front Endocrinol 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