Childers J M, Hicks T H
Department of Obstetrics and Gynecology, University of Arizona, Tucson.
J Urol. 1992 May;147(5):1373-5. doi: 10.1016/s0022-5347(17)37573-0.
We present a case of a 38-year-old man with a unilateral intra-abdominal testicle and undesired fertility in whom orchiectomy and contralateral vasectomy were performed laparoscopically. Urologists have been using diagnostic laparoscopy in patients with nonpalpable testes to plan the definitive procedure when the testicle is present, and to avoid laparotomy in cases of testicular absence. This case of laparoscopic orchiectomy and vasectomy demonstrates that operative laparoscopy allows another subset of patients with cryptorchidism to avoid open laparotomy.
我们报告一例38岁男性病例，该患者患有单侧腹腔内睾丸且有生育需求，为此进行了腹腔镜下睾丸切除术和对侧输精管切除术。泌尿外科医生一直在对睾丸无法触及的患者使用诊断性腹腔镜检查，以便在睾丸存在时规划最终手术方案，并在睾丸缺失的情况下避免剖腹手术。该例腹腔镜下睾丸切除术和输精管切除术表明，手术腹腔镜检查使另一组隐睾患者避免了开放性剖腹手术。
