Tejedor R, López M, Cano I, García A, Cabezalí D, Gómez A, López F, Aransay A
Servicio de Cirugia Pediátrica, Hospital Universitario 12 de Octubre, Madrid.
Cir Pediatr. 2008 Oct;21(4):191-4.
The investigation of a male with impalpable testes is one of the most frequent diagnostic indications of laparoscopy and it is accepted as a therapeutic tool for the treatment of the intra-abdominal testis. We have studied thirteen patients being surgically operated by a video-assisted orchidopexy without spermatic vessels section. The technique consists of wide mobilization of the spermatic vessels and the vas deferens from the posterior peritoneum, sectioning the gubernaculum and descending of the testis to the scrotum. In all the cases, the internal groin ring was later closed by means of a laparoscopy. There were no intraoperative complications. In 100% of the cases, the testis was descended to the scrotum. The surgical time oscillated between 40 and 80 minutes (60 minutes mean). At follow-up from 6 months to 4 years, the outcome was satisfactory in 11 patients, whereas in 2 cases the operated testis ascended.
对隐睾男性的检查是腹腔镜检查最常见的诊断指征之一，并且它被公认为是治疗腹腔内睾丸的一种治疗手段。我们研究了13例接受电视辅助睾丸固定术且未切断精索血管的手术患者。该技术包括从后腹膜广泛游离精索血管和输精管，切断睾丸引带并将睾丸降至阴囊。在所有病例中，随后通过腹腔镜关闭腹股沟内环。术中无并发症。100%的病例中，睾丸降至阴囊。手术时间在40至80分钟之间波动（平均60分钟）。在6个月至4年的随访中，11例患者结果满意，而2例手术侧睾丸上升。
