Chui C H, Jacobsen A S
Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore.
Singapore Med J. 2000 May;41(5):206-8.
To examine the role of laparoscopy in the evaluation of the non-palpable undescended testes in paediatric patients.
A review of all laparoscopies performed for the evaluation of the non-palpable undescended testes in a children's hospital over a 12-month period was conducted. Special attention was paid to the patients' age, the location of the testes at the time of laparoscopy, the subsequent surgical procedures and the complications.
Sixteen boys underwent laparoscopy to localise 20 nonpalpable testes. 12 patients had unilateral disease while 4 had bilateral disease. 15 non-palpable testes were intraabdominal, 3 had inguinal testicular remnants and 2 had 'vanished'. A contralateral inguinal hernia was incidentally found in one patient. A patient with epididymal-gonadal non-union was not apparent at laparoscopy. There were no post-laparoscopic complications in all 16 patients.
Laparoscopy is safe and accurate in the evaluation of non-palpable testes in children. The accurate localisation of intraabdominal testes facilitates the development of an optimal surgical strategy.
探讨腹腔镜检查在评估小儿不可触及隐睾中的作用。
回顾性分析一家儿童医院在12个月内对不可触及隐睾进行评估而实施的所有腹腔镜检查。特别关注患者年龄、腹腔镜检查时睾丸位置、后续手术操作及并发症。
16名男孩接受了腹腔镜检查以定位20个不可触及的睾丸。12例为单侧病变，4例为双侧病变。15个不可触及的睾丸位于腹腔内，3个有腹股沟睾丸残迹，2个已“消失”。1例患者偶然发现对侧腹股沟疝。1例附睾-性腺不连患者在腹腔镜检查时未发现异常。16例患者均未发生腹腔镜检查后并发症。
腹腔镜检查在评估儿童不可触及睾丸时安全且准确。腹腔内睾丸的准确定位有助于制定最佳手术策略。
