Baillie C T, Fearns G, Kitteringham L, Turnock R R
Department of Paediatric Surgery, Royal Liverpool Children's Hospital, UK.
Arch Dis Child. 1998 Nov;79(5):419-22. doi: 10.1136/adc.79.5.419.
To evaluate the use of laparoscopy in the management of the impalpable testis.
A retrospective analysis of the clinical findings, interventions, and outcome in 87 consecutive boys undergoing laparoscopy for 97 impalpable testes.
Fifty seven testes were either absent (n = 35) or present as a small remnant (n = 22), which was removed at contemporaneous groin exploration. There were 27 intra-abdominal testes, including four hypoplastic testes, which were removed laparoscopically. The 13 remaining viable testes were located in the groin. Conventional orchidopexy followed laparoscopy for 21 testes, and was successful in 17 cases. Two stage laparoscopically assisted Fowler Stevens orchidopexies were performed for 13 intra-abdominal testes, with eight satisfactory results. Ultrasound evaluation significantly reduced the number of conventional orchidopexies following laparoscopy.
Laparoscopy is a rational and safe approach for precise localisation of the impalpable testis. Laparoscopically assisted two stage orchidopexy is a successful treatment procedure for intra-abdominal testes.
评估腹腔镜检查在不可触及睾丸处理中的应用。
对87例连续接受腹腔镜检查以处理97个不可触及睾丸的男孩的临床发现、干预措施及结果进行回顾性分析。
57个睾丸缺失（n = 35）或仅为小残端（n = 22），在同期腹股沟探查时予以切除。有27个腹腔内睾丸，包括4个发育不全的睾丸，通过腹腔镜切除。其余13个存活的睾丸位于腹股沟区。21个睾丸在腹腔镜检查后行传统睾丸固定术，17例成功。对13个腹腔内睾丸进行了两期腹腔镜辅助Fowler Stevens睾丸固定术，8例结果满意。超声评估显著减少了腹腔镜检查后传统睾丸固定术的数量。
腹腔镜检查是一种合理且安全的方法，用于精确定位不可触及的睾丸。腹腔镜辅助两期睾丸固定术是治疗腹腔内睾丸的成功手术方法。
