期刊文献+

经脐单一部位三通道腹腔镜手术治疗隐睾22例 被引量:10

Transumbilical Single-site 3-port Laparoscopic Orchidopexy for Children with Cryptorchidism:A Report of 22 Cases
下载PDF
导出
摘要 目的探讨经脐单一部位三通道腹腔镜手术治疗隐睾的疗效。方法 2011年1月~2012年10月对22例(25侧)隐睾患儿,平均年龄2岁2个月,左侧7例,右侧12例,双侧3例,在脐部2 cm的单切口内分别置3个通道(3个5mm trocar),在腹腔镜辅助下,松解精索及输精管,将睾丸固定于阴囊内。结果 21例(24侧)固定于阴囊底,1例固定于阴囊上部。手术时间50~90 min,平均65 min。术后2~3 d出院。3个trocar孔均位于脐部伤口内,切口愈合后腹部无瘢痕。22例B超随访3~15个月(平均7.3月),无切口感染,无睾丸萎缩或回缩,无腹股沟斜疝或脐疝发生。结论经脐单一部位3通道腹腔镜手术治疗隐睾安全、有效,术后腹部无瘢痕,适用于腹腔内隐睾、腹股沟高位隐睾以及隐睾术后睾丸下降不全的病人。 Objective To explore the efficacy of transumbilical single-site 3-port laparoscopic orchidopexy for undescendent testes. Methods Between January 2011 and October 2012, 22 cases (25 testicular units) of undescendent testes were treated by transumbilical single-site 3-poIt laparoscopic orchidopexy. The average age of the patients was 26 months. Of the 22 cases, 7 were on the left side, 12 were on the right side and 3 were bilateral. 3 ports(one 5-mm port placed by open technique and two additional 5-mm ports under direct vision)were inserted through the same one wound of 2 em length. After dissection of the testicular vessels and vas deferens, mosquito forcep was placed in a tunnel from the scrotum to pull the remnant of the gubernaculum down and the testicle was fixed in a dartos pouch. Results 24 testicular units were fixed on the bottom of the scrotum; 1 testicular unit was fixed in the upper pole of scrotum. The operative time ranged from 50 to 90 minutes, averaged 65 minutes. The postoperative hospital stay was 2 - 3 days. All patients(25 testicular units) were followed up by ultrasound for 3 - 15 months( mean :7.3 months), and there was no case of testicular atrophy or ascent, or hernia. Conclusions Single-incislon 3-port access approach for laparoscopic first-stage orchidopexy is safe and effective. No scar can be found in the abdomen after operation. This approach is suitable for children with intra-abdominal testes, ingurnal testes and postoperative undescented testes.
出处 《中国微创外科杂志》 CSCD 2013年第5期415-417,共3页 Chinese Journal of Minimally Invasive Surgery
关键词 经脐单一部位 腹腔镜 隐睾 Transumbilical single-site Laparoscopy Cryptorchidism
  • 相关文献

参考文献11

  • 1Bloom DA,Svemm K. Advances in genitourinary laparoscopy. Adv Urol,1991,4 :167 - 182.
  • 2王淑芹,李龙,黄柳明,刘宝富,王平.腹腔镜诊断和治疗高位隐睾的探讨[J].中国微创外科杂志,2003,3(1):17-18. 被引量:16
  • 3Rane A, Rao P, Rao P. Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-Port). Urology,2008,72:260 - 263.
  • 4Desai MM, Rao PP, Aron M, et al. Scarless single port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int,2008,101:83 - 88.
  • 5郝春生,叶辉,李龙,白冬升,李旭,管考评.腹腔镜下高位隐睾Ⅰ期下降固定术的探讨[J].中华小儿外科杂志,2009,30(2):83-85. 被引量:11
  • 6郝春生,叶辉,李龙,白冬升.腹腔镜与开放手术在治疗隐睾术后睾丸下降不全的体会[J].中华小儿外科杂志,2011,32(7):554-555. 被引量:7
  • 7Horasanli K, Miroglu C, Tanriverdi O, et al. Single stage Fowler- Stephens orchidopexy: a preferred alternative in the treatment of nonpalpable testes. Pediatr Surg Int,2006,22 (9) :759 - 761.
  • 8郝春生,叶辉,李龙,白冬升,张薇薇,王莹,管考评,牛志尚.腹股沟可触及睾丸的隐睾的微创治疗[J].中国微创外科杂志,2009,9(3):222-224. 被引量:25
  • 9Tugcu V, Snmezay E, Ilbey YO, et al. Transperitoneal laparoendoscopic single-site pyeloplasty: initial experiences. J Endourol,2010,24 (12) :2023 - 2027.
  • 10de Lima GR, de Silveira RA, de Cerqueira JB, et al. Single- incision muhiport laparoseopie orehidopexy: initial report. J Pediatr Surg, 2009,44 : 2054 - 2056.

二级参考文献28

  • 1刘国庆,唐华建,白立芳,王剑锋,李焕,李杰荣,高志云,朱大江.非腹腔型隐睾的腹腔镜手术治疗[J].临床小儿外科杂志,2006,5(3):170-171. 被引量:19
  • 2吴阶平 裘法祖 黄家驷 主编.外科学:第6版[M].北京:人民卫生出版社,1996.1636-1638.
  • 3Lindgren BW, Darby EC, Faiella L, et al. Laparoscopic orchiopexy: procedure of choice for the nonpalpable testis? J Urol, 1998,159:2132-2135.
  • 4Papparella A, Parmeggiani P, Cobellis G, et al. Laparoscopic management of nonpalpable testes: a multicenter study of the Italian Socity of Video Surgery in infancy. J Pediatri Surg, 2005,40:696- 700.
  • 5Caldamone AA, Amaral JF. Laparoscopic stage 2 Fowler-Stephens orchidopexy. J Urol, 1994,152 : 1253- 1256.
  • 6Rosito NC,Koff WJ,da Silva Oliveira TL, et al. Volumetric and histological findings in intra-abdominal testes before and after division of spermatic vessels. J Urol,2004,171:2430-2433.
  • 7Horasanli K, Miroglu C, Tanriverdi O, et al. Single stage Fowler- Stephens orehidopexy: a preferred alternative in the treatment of nonpalpable testes. Pedia Surg Int, 2006,22 : 756-761.
  • 8Bloom DA, Svemm K. Advances in genitourinary laparoscopy. Adv Urol, 1991,4:167-182.
  • 9Docimo SG, Moor RG, Adams J, et al. Laparoscopic orchiopexy for the high impalpable testis: preliminary experience. J Urol,1995,154:1513-1515.
  • 10Horasanli K, Miroglu C, Tanriverdi O, et al. Single stage Fowler-Stephens orchidopexy: a preferred alternative in the treatment of nonpalpable testes. Pediatr Surg Int, 2006,22:759-761.

共引文献50

同被引文献71

  • 1陆毅群,阮双岁,毕允力.不能触及睾丸的隐睾症的腹腔镜辅助治疗[J].临床小儿外科杂志,2006,5(1):5-7. 被引量:12
  • 2蔡冰,张奕雄,李湘斌.隐睾继发睾丸癌10例诊治分析[J].中华男科学杂志,2007,13(6):561-562. 被引量:8
  • 3章越龙,肖家全,邹强,丁青,楼水鑫.Fowler-Stephens手术治疗高位隐睾12例报告[J].临床泌尿外科杂志,2007,22(9):694-696. 被引量:6
  • 4邬娇,郭曲练.儿童术后镇痛的现状及进展[J].实用疼痛学杂志,2007,3(5):373-378. 被引量:16
  • 5Docimo SG, Moor BG, Adams J, et al. Laparoscopic orehiopexy for the high impalpable testis:preliminary experiminary experience[J]. J Urol, 1995, 154:1513-1515.
  • 6Horasanli K, Miroglu C, Tauriverdi O, et al. Single stage Fowler- Stephens orchidopexy:a preferred alternative in the treatment of nonpalpahle testes[J]. Pediatr Surg Int, 2006, 22:759-761.
  • 7郭应禄.周立群主译.坎贝尔-沃尔什泌尿外科学(第四卷)[M].9版.北京:北京大学医学出版社.2009.3957-3981.
  • 8Biauchi A, Squire B. Transscrotal orchidopexy:orchidopexy re- vised[J]. Pediatr Surg Int, 1989, 4:189-192.
  • 9Kim J, Min GE, Kim KS. Laparoscopic orchiopexy for a nonpalpa- ble testis[J]. Korean J Urol, 2010, 51:106-110.
  • 10Papparella A, Romano M, Noviello C, et al. The value of laparoscopy in the management of non-palpable testis[J]. J Pe- diair Urol, 2010, 6:550-554.

引证文献10

二级引证文献56

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部