[腹腔镜治疗隐睾。结果]

[Laparoscopic treatment of the nonpalpable testis. Results].

作者信息

Mcheik Jiad N, Levard Guillaume

机构信息

Service de Chirurgie Pédiatrique, Centre Hospitalo-Universitaire de Poitiers, 350, avenue Jacques Coeur, BP 577, 86021 Poitiers.

出版信息

Prog Urol. 2002 Apr;12(2):294-7.

PMID:12108346

Abstract

OBJECTIVE

The purpose of laparoscopy in the management of the non palpable testis is to provide information regarding testicular presence and location to facilitate overall surgical management.

MATERIALS AND METHODS

We report our experience with laparoscopic orchiopexy to treat 39 nonpalpable testes in 32 patients, patient age ranged from 2.3 years to 14 years (average 4.18 years). We retrospectively reviewed the medical records of all patients for a 5-year period.

RESULTS

At laparoscopy 11 testes were at the internal inguinal ring, these patients underwent one-stage laparoscopic orchiopexy without division of the spermatic vessels. 18 high intra-abdominal testes underwent two-stage Fowler-Stephens orchiopexy. One Patient underwent laparoscopically assisted orchiectomy for atrophy, 9 testes were absent. At follow-up 6, 12 and 24 months after 26 of 29 (89%) testes are without atrophy, and in acceptable scrotal position.

CONCLUSIONS

The low incidence of complications and 89% success rate underscore the feasibility of laparoscopic orchiopexy. It is our procedure of choice for the management and treatment of nonpalpable testis.

摘要

目的

腹腔镜检查在不可触及睾丸的处理中的目的是提供有关睾丸存在及位置的信息，以促进整体手术管理。

材料与方法

我们报告了对32例患者的39个不可触及睾丸进行腹腔镜睾丸固定术的经验，患者年龄从2.3岁至14岁（平均4.18岁）。我们回顾性分析了所有患者5年期间的病历。

结果

在腹腔镜检查时，11个睾丸位于腹股沟内环处，这些患者接受了一期腹腔镜睾丸固定术，未切断精索血管。18个高位腹腔内睾丸接受了两期Fowler-Stephens睾丸固定术。1例患者因睾丸萎缩接受了腹腔镜辅助睾丸切除术，9个睾丸未发现。在随访26个睾丸6、12和24个月后，其中29个睾丸中的26个（89%）未发生萎缩，且阴囊位置可接受。