Pediatric Surgery Unit, Department of Surgery, Alexandria Faculty of Medicine, Egypt.
J Pediatr Urol. 2011 Oct;7(5):548-51. doi: 10.1016/j.jpurol.2010.07.016. Epub 2010 Aug 30.
Laparoscopic orchidopexy has become the routine tool in managing abdominal testes. Many techniques have been used to deliver the dissected testis to the scrotal position; a trans-scrotal port is one of them. We present a technique in which the trans-scrotal port is inserted early on, and used not only for testis delivery but also to aid the testicular dissection. We used the technique for 15 abdominal testes in 13 boys and it was safe, and very helpful in dissecting the vascular pedicle to higher levels in an ergonomically easier plane. In addition, it helped in establishing the tract and eventually guiding the dissected testis to the desired scrotal position (12 low and 3 mid-scrotal).
腹腔镜睾丸固定术已成为治疗腹内睾丸的常规手段。许多技术被用于将解剖后的睾丸输送到阴囊位置；经阴囊入路就是其中之一。我们介绍了一种技术，即在早期即插入经阴囊入路端口，不仅用于睾丸输送，还用于辅助睾丸解剖。我们在 13 名男孩的 15 个腹内睾丸中使用了该技术，它是安全的，并且非常有助于在更符合人体工程学的更简单平面上解剖血管蒂至更高水平。此外，它有助于建立通道，并最终引导解剖后的睾丸到达所需的阴囊位置（12 个低位和 3 个中阴囊位）。
