Mahdi Ben Dhaou, Rahma Chtourou, Mohamed Jallouli, Hayet Zitouni, Riadh Mhiri
Department of Pediatric Surgery, Hedi Chaker Hospital, School of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Korean J Urol. 2015 Nov;56(11):781-4. doi: 10.4111/kju.2015.56.11.781. Epub 2015 Oct 30.
We review the literature and describe our technique for laparoendoscopic single-site orchidopexy using a glove port and rigid instruments. We assessed the feasibility and outcomes of this procedure.
We retrospectively reviewed the case records of all children who had undergone laparoendoscopic single-site orchidopexy by use of a surgical glove port and conventional rigid instruments for a nonpalpable intraabdominal testis between January 2013 and September 2014.
Data from a total of 20 patients were collected. The patients' mean age was 18 months. All cases had a nonpalpable unilateral undescended testis. Fourteen patients (70%) had an undescended testis on the right side and six patients (30%) had an undescended testis on the left side. Seventeen patients underwent primary orchidopexy. Three patients underwent single-port laparoscopic Fowler-Stephens orchidopexy for the first and the second stage. Average operating time was 57 minutes (range, 40 to 80 minutes). No patient was lost to follow-up. At follow-up, 2 testes were found to have retracted out of the scrotum and these were successfully dealt with in a second operation. One testis was hypoplastic in the scrotal pouch. There were no signs of umbilical hernia.
Single-port laparoscopic orchidopexy using a glove port and rigid instruments is technically feasible and safe for various nonpalpable intraabdominal testes. However, surgical experience and long-term follow-up are needed to confirm the superiority of this technique.
我们回顾相关文献并描述使用手套端口和硬质器械进行腹腔镜单部位睾丸固定术的技术。我们评估了该手术的可行性和结果。
我们回顾性分析了2013年1月至2014年9月期间所有使用手术手套端口和传统硬质器械对不可触及的腹腔内睾丸进行腹腔镜单部位睾丸固定术的儿童病例记录。
共收集了20例患者的数据。患者的平均年龄为18个月。所有病例均为不可触及的单侧隐睾。14例患者（70%）右侧隐睾，6例患者（30%）左侧隐睾。17例患者接受了一期睾丸固定术。3例患者分两期接受了单端口腹腔镜Fowler-Stephens睾丸固定术。平均手术时间为57分钟（范围40至80分钟）。无患者失访。随访时，发现2个睾丸回缩至阴囊外，在第二次手术中成功处理。1个睾丸在阴囊袋内发育不良。无脐疝迹象。
使用手套端口和硬质器械进行单端口腹腔镜睾丸固定术对于各种不可触及的腹腔内睾丸在技术上是可行且安全的。然而，需要手术经验和长期随访来证实该技术的优越性。
