微型腹腔镜下一期隐睾下降固定术的临床价值

The clinical value of the mini-laparoscopic one-stage orchiopexy in the treatment of cryptorchidism

目的：探讨微型腹腔镜一期治疗隐睾的临床价值。方法：总结分析2013年10月至2015年10月为42例隐睾患儿采用微型腹腔镜行隐睾下降固定术的临床资料。术后随访3-8个月,平均（5±2）个月。结果：42例隐睾患儿均一期治愈,无中转开放病例。无输精管损伤及睾丸扭转、睾丸坏死及萎缩,无切口疝发生,切口基本不留疤痕。手术时间20-40 min,平均（30±5）min;术中出血量3-5 ml,平均（4±1）ml;住院3-5 d,平均（4±1）d;结论：微型腹腔镜隐睾下降固定术手术操作简单、可行,一期手术成功率高,并发症少,可同时处理对侧腹股沟疝及隐匿疝,术中出血量少,手术时间短,术后住院时间短,切口美观,创伤小,康复快。微型腹腔镜一期隐睾下降固定术对不同类型隐睾均有良好效果。

Objective： To investigate the clinical value of the one-stage mini-laparoscopy in the treatment of cryptorchidism.Methods： The clinical data of 42 children who suffered from cryptorchidism and underwent mini-laparoscopic orchiopexy from Oct. 2013 to Oct. 2015 were retrospectively analyzed. Patients were followed up for（ 5 ± 2） months（ range 3 to 8 months）. Results： All the 42 children with cryptorchidism were cured in one-stag without conversion to open surgery. No complications occurred,such as vas deferens damage,testicular torsion,testicular necrosis,atrophy or incision hernia,no obvious incision scar was found. Operation time was（ 30 ±5） min（ range,20-40 min）,intraoperative blood loss was（ 4 ± 1） ml（ range 3 to 5 ml）,the hospital stay was（ 4 ± 1） d（ range 3 to 5 d）. Conclusions： The mini-laparoscopic one-stage orchiopexy is simple,feasible,mini-invasive,has advantages of high success rate of one-stage operation,few complications and intraoperative blood loss,short operation time and hospital stay,cosmetic incision,rapid recovery,and can simultaneously process the contralateral inguinal hernia and hidden hernia. The mini-laparoscopic one-stage orchiopexy is effective for different types of cryptorchidism.