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