Matsuda T, Nonomura M, Okamoto K, Shichiri Y, Okada Y, Yoshida O, Mori S, Hashimoto N, Hoshino K
Department of Urology, Faculty of Medicine, Kyoto, University.
Hinyokika Kiyo. 1988 Apr;34(4):648-51.
We tested the obturator foramen approach first reported by Shafik in 1982, on an 84-year-old male cadaver. By this approach, the ductus deferens is by-passed through the obturator foramen for the reanastomosis in patients who require excision of a long segment of the ductus deferens. The length of the ductus deferens spared by this method was 10.5 cm. Preservation of the deferential artery and protection of the obturator nerve and vessels were considered to be essential in the operation. When the ductus deferens was cut more distal than the internal inguinal ring, this method was not feasible because the distal part of the vas was too short to come out to the upper scrotal region through the obturator foramen.
我们在一位84岁男性尸体上测试了1982年沙菲克首次报道的闭孔入路。通过这种入路，对于需要切除长段输精管的患者，输精管可经闭孔绕过以进行再吻合。用这种方法保留的输精管长度为10.5厘米。手术中保留输精管动脉以及保护闭孔神经和血管被认为至关重要。当输精管在腹股沟内环远端切断时，这种方法不可行，因为输精管远端太短，无法经闭孔穿出至阴囊上部区域。
