经脐单部位腹腔镜技术治疗儿童腹股沟型隐睾(附33例报告)  

Transumbilical single-site laparoscopic orchiopexy for inguinal cryptorchidism in children: Report of 33 cases

作　　者：陆如纲[1] 马耿[1] 朱浩波[1] 陈琛君[1] 

机构地区：[1]南京医科大学附属南京儿童医院泌尿外科,江苏南京210008

出　　处：《中华男科学杂志》2014年第11期1025-1028,共4页National Journal of Andrology

摘　　要：目的：探讨经脐单部位腹腔镜技术在儿童腹股沟型隐睾治疗中的可行性和疗效。方法：2013年8-11月对33例41侧腹股沟型隐睾患儿进行经脐单部位腹腔镜手术治疗,术中均于腹股沟外探及睾丸,其中位于右侧14例,左侧11例,双侧8例。结果：手术均获成功,无术中并发症,无中转开放手术;33例41侧腹股沟型隐睾患儿均能经脐腹腔镜技术游离足够长度的精索并使睾丸能通过腹股沟管顺利降至阴囊。31例39侧睾丸固定于阴囊底,2例2侧睾丸固定于阴囊中部。随访6-9个月,所有睾丸发育良好,术后无睾丸回缩、萎缩、腹股沟斜疝及鞘膜积液等并发症发生。结论：经脐单部位腹腔镜技术治疗儿童腹股沟可触及隐睾,方法可行有效,且美容效果满意。Objective： To explore the feasibility and effect of transumbilical single-site laparoscopic surgery in the treatment of inguinal cryptorchidism in children. Methods： From August to November 2013,33 children with inguinal cryptorchidism（ 41 testes）underwent transumbilical single-site laparoscopic orchiopexy. The undescended testes were palpable in the inguen intra-operatively in all the cases,14 on the right,11 on the left,and 8 bilaterally. Results： All the operations were performed successfully with neither intraoperative complications nor conversion to open surgery. Adequate length of spermatic cord was pulled down to allow the testis to descend through the inguinal canal into the scrotum in all the cases. Totally,39 testes in 31 cases were fixed at the bottom and 2 testes in 2 cases in the middle of the scrotum. Follow-up ranged from 6 to 9 months,which showed normal development of the testes,but no such postoperative complications as testicular retraction and atrophy,indirect hernia,and hydrocele. Conclusion： Transumbilical single-site laparoscopic orchiopexy is a feasible and effective technique for the treatment of inguinal palpable undescended testis in children,and its cosmetic results were desirable.

关 键 词：脐单部位 腹腔镜 腹股沟 隐睾 儿童 

分 类 号：R726.9[医药卫生—儿科]