Jordan G H
Department of Urology, Eastern Virginia Medical School, Norfolk, Virginia, USA.
Urol Clin North Am. 2001 Feb;28(1):23-9, vii-viii. doi: 10.1016/s0094-0143(01)80004-5.
The role of laparoscopy with regards to the undescended testicle has been hotly debated since the late 1970s and early 1980s when it was realized that the abdominal testicle could be visualized with the laparoscope. Many enthusiastically embraced the laparoscope for diagnosis and localization of the impalpable undescended testicle, whereas others staunchly maintained that laparoscopy was overly invasive and really facilitated little with regards to orchidopexy. Diagnostic laparoscopy, when compared with the other modalities, holds its own well with regards to accuracy and efficacy. In the early 1990s, the role of laparoscopy expanded to include performance of orchidopexy. It would be naive to believe that the debate cooled with the evolution of laparoscopic orchidopexy. Over the years, since introduction of the operation, there have been many institutions that have examined the role of laparoscopic orchidopexy quite critically. In many people's minds, laparoscopic orchidopexy is a clear competitor to open orchidopexy for the impalpable undescended abdominal testicle; in a few people's minds, it has become the gold standard.
自20世纪70年代末80年代初人们意识到可以用腹腔镜观察到腹腔内的睾丸以来，腹腔镜在隐睾症治疗中的作用一直备受争议。许多人热情地接受了腹腔镜用于不可触及隐睾的诊断和定位，而另一些人则坚定地认为腹腔镜侵入性过大，对于睾丸固定术并无太大帮助。与其他方法相比，诊断性腹腔镜在准确性和有效性方面表现良好。在20世纪90年代初，腹腔镜的作用扩展到包括实施睾丸固定术。认为随着腹腔镜睾丸固定术的发展争论就平息了，这种想法是幼稚的。多年来，自该手术引入以来，有许多机构对腹腔镜睾丸固定术的作用进行了严格审视。在许多人看来，对于不可触及的腹腔内隐睾，腹腔镜睾丸固定术显然是开放手术的有力竞争对手；在少数人看来，它已成为金标准。
