超微通道经脐单孔腹腔镜治疗小儿腹股沟型隐睾  

Ultramicrochannel Transumbilical Single-port Laparoscopy for Inguinal Cryptorchidism in Children

作　　者：李彦强[1] 蒋金花 王红[1] 罗意革[1] Li Yanqiang;Jiang Jinhua;Wang Hong(Department of Pediatric Surgery, First Affiliated Hospital of Guangxi Medical University, Nannin 530021, China)

机构地区：[1]广西医科大学第一附属医院小儿外科,南宁530021

出　　处：《中国微创外科杂志》2021年第4期346-348,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨超微通道经脐单孔腹腔镜技术治疗腹股沟型隐睾的疗效及可行性。方法2019年10月~2020年5月收治22例腹股沟型隐睾,年龄6个月~10岁,中位年龄2.6岁,左侧8例,右侧12例,双侧2例。行超微通道(0.6~0.8 cm)经脐单孔腹腔镜下保留睾丸引带的睾丸下降固定术。结果22例手术均顺利完成,18侧固定在阴囊底部,6侧固定在阴囊中部。术后随访4~6个月,未见睾丸回缩、睾丸停止发育、腹股沟斜疝、鞘膜积液等并发症。结论超微通道单孔腹腔镜技术对于小儿腹股沟型隐睾是可行的;保留睾丸引带在维持原有解剖的同时最大程度保留睾丸血供,有利于睾丸发育。Objective To investigate the efficacy and feasibility of ultramicrochannel transumbilical single-port laparoscopy for inguinal cryptorchidism.Methods Clinical data of 22 cases with inguinal cryptorchidism treated by ultramicrochannel(0.6-0.8 cm)laparoscopic testicular descending fixation with testicular gubernaculum preservation in our hospital from October 2019 to May 2020 were reviewed.The patients aged from 6 months to 10 years old(median,2.6 years old).There were 8 left cases,12 right cases,and 2 bilateral cases.Results All the 22 cases underwent surgery successfully.There were 18 testes fixed at the base of the scrotum,and 6 at the middle of the scrotum.All the cases were followed up for 4-6 months.There were no complications such as testicular retraction,testicular dysgenesis,indirect inguinal hernia or hydrocele.Conclusions Ultramicrochannel transumbilical single-port laparoscopy is feasible for children with inguinal cryptorchidism.Testicular gubernaculum preserves the testicular blood supply to the greatest extent while maintaining the original anatomy.It is beneficial to testicular development.

关 键 词：超微通道经脐单孔腹腔镜 睾丸引带 腹股沟型隐睾 睾丸下降固定 

分 类 号：R726.9[医药卫生—儿科]