Lu Ru-gang, Ma Geng, Zhu Hao-bo, Chen Chen-jun
Department of Urology, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Jiangsu, China.
Zhonghua Nan Ke Xue. 2014 Nov;20(11):1025-8.
To explore the feasibility and effect of transumbilical single-site laparoscopic surgery in the treatment of inguinal cryptorchidism in children.
From August to November 2013, 33 children with inguinal cryptorchidism (41 testes) underwent transumbilical single-site laparoscopic orchiopexy. The undescended testes were palpable in the inguen intra-operatively in all the cases, 14 on the right, 11 on the left, and 8 bilaterally.
All the operations were performed successfully with neither intraoperative complications nor conversion to operi surgery. Adequate length of spermatic cord was pulled down to allow the testis to descend through the inguinal canal into the scrotum in all the cases. Totally, 39 testes in 31 cases were fixed at the bottom and 2 testes in 2 cases in the middle of the scrotum. Follow-up ranged from 6 to 9 months, which showed normal development of the testes, but no such postoperative complications as testicular retraction and atrophy, indirect hernia, and hydrocele.
Transumbilical single-site laparoscopic orchiopexy is a feasible and effective technique for the treatment of inguinal palpable undescended testis in children, and its cosmetic results were desirable.
探讨经脐单孔腹腔镜手术治疗小儿腹股沟隐睾症的可行性及效果。
2013年8月至11月，33例小儿腹股沟隐睾症（41个睾丸）接受经脐单孔腹腔镜睾丸下降固定术。术中所有病例腹股沟区均可触及未降睾丸，右侧14个，左侧11个，双侧8个。
所有手术均成功完成，术中无并发症，无需中转开放手术。所有病例均将足够长度的精索拉下，使睾丸经腹股沟管降至阴囊。31例共39个睾丸固定于阴囊底部，2例共2个睾丸固定于阴囊中部。随访6至9个月，睾丸发育正常，无睾丸回缩、萎缩、腹股沟斜疝及鞘膜积液等术后并发症。
经脐单孔腹腔镜睾丸下降固定术是治疗小儿腹股沟可触及隐睾的一种可行且有效的技术，美容效果良好。
