经脐单一切口腹腔镜联合2mm trocar治疗腹腔型隐睾  

Transumbilical Single-port Laparoscopic Surgery Combined with 2-mm Trocar for Abdominal Undescended Testis

作　　者：江春[1] 黄健[1] 林天歆[1] 韩金利[1] 黄海[1] 许可慰[1] 谢文练[1] 姚友生[1] 

机构地区：[1]中山大学孙逸仙纪念医院泌尿外科,广州510120

出　　处：《中国微创外科杂志》2011年第11期1027-1029,共3页Chinese Journal of Minimally Invasive Surgery

基　　金：国家重大项目卫生行业公益性事业专项(200802015);教育部博士点基金(No:20060558027);广州市科技局重点项目(No:2005Z2-E0121);中山大学5010项目(2007018);卫生部临床重点项目(2007黄健)

摘　　要：目的探讨经脐单一切口腹腔镜联合2 mm trocar治疗腹腔型隐睾的应用价值。方法 2009年11月～2011年1月,采用经脐单一切口腹腔镜联合2 mm trocar治疗11例腹腔型隐睾。脐下缘1.5 cm弧形切口,置入自制多通道trocar,置入5 mm腹腔镜和操作器械1把,脐与耻骨联合连线中点处直接穿刺置入2 mm trocar,置入2 mm腹腔镜抓钳,进行手术。结果 10例11侧成功将隐睾下降固定于阴囊;1例1侧行隐睾切除术。手术时间30～70 min,平均45 min。无手术并发症发生。10例随访3～14个月,平均8.8月,未发现下降的睾丸萎缩。结论经脐单一切口腹腔镜联合2 mm trocar治疗操作不复杂的腹腔型隐睾可行。Objective To evaluate transumbilical single-port laparoscopic orchiopexy combined with 2-mm trocar for abdominal undescended testis.Methods From November 2009 to January 2011,we performed transumbilical single-port laparoscopic orchiopexy combined with 2-mm trocar on 11 patient with nonpalpable undescended testis.A domestic multichannel port was inserted through a 1.5-cm umbilical incision,and a 2-mm trocar was inserted at the middle point between the pubis and umbilicus.A 5-mm laparoscope,5-mm instrument and a 2-mm laparoscopic forceps were applied in the procedure.Results The operations,including 10 cases of orchiopexy,and 1 case of orchidectomy because of testicular hypoplasia,were completed successfully within a mean of 45 min（30-70 min）.Ten patients were followed up for 3-14 months with a mean of 8.8 months,during which no testicular atrophy was found.Conclusions Transumbilical single-port laparoscopic surgery combined with 2-mm trocar is feasible for uncomplicated abdominal undescended tesits.

关 键 词：经脐单孔腹腔镜手术 隐睾 腹腔镜 

分 类 号：R699[医药卫生—泌尿科学]