Janetschek G, Reissigl A, Peschel R, Bartsch G
Urologische Universitätsklinik, Innsbruck.
Urologe A. 1994 Jan;33(1):31-7.
Between January 1992 and June 1993 a total of 36 children underwent laparoscopic surgery in our department. On account of its superior validity, diagnostic laparoscopic surgery for nonpalpable testicles has become a viable alternative to the currently available imaging techniques. Furthermore, diagnostic laparoscopy has the benefit of enabling the surgeon to proceed directly with adequate therapy. Our results gained in 29 pediatric laparoscopic procedures for varicoceles show that it is a very efficient technique that entails few complications. The varicocele persisted in only 1 of the 29 children. In 2 patients laparoscopic nephrectomy was performed, which in technical terms turned out to be less complicated than in adults. Postoperatively, 1 patient developed an incarcerated hernia at the site of trocar insertion. In 2 patients a laparoscopic Lich-Gregoir procedure was performed for vesicoureteral reflux, which, however, cannot yet be considered a viable alternative to the conventional operative techniques.
1992年1月至1993年6月期间，我科共有36名儿童接受了腹腔镜手术。由于其更高的有效性，诊断性腹腔镜手术已成为目前可用的成像技术之外的可行选择。此外，诊断性腹腔镜手术的优点是使外科医生能够直接进行适当的治疗。我们在29例小儿精索静脉曲张腹腔镜手术中获得的结果表明，这是一种非常有效的技术，并发症很少。29名儿童中只有1名精索静脉曲张持续存在。2例患者接受了腹腔镜肾切除术，从技术角度来看，该手术比成人的手术并发症更少。术后，1例患者在套管针插入部位发生嵌顿疝。2例患者接受了腹腔镜Lich-Gregoir手术治疗膀胱输尿管反流，然而，这一手术目前还不能被视为传统手术技术的可行替代方案。
