Peters C A
Department of Surgery, Children's Hospital, Boston, Massachusetts.
Urology. 1993 Jan;41(1 Suppl):33-7. doi: 10.1016/0090-4295(93)90192-d.
Laparoscopy has been used in pediatric urology for the diagnosis of nonpalpable testes for more than fifteen years. Expansion of pediatric urologic applications of laparoscopic surgical techniques is inevitable with the recent explosion of urologic laparoscopy. While the needs are distinct and at times divergent from those in the adult population, many benefits may be realized with this developing technology in children. Refinement of diagnostic capabilities as well as interventional procedures for the undescended testis are being developed. Increased use for varicocele treatment and intersex evaluation can be expected. Potential applications of laparoscopic techniques for the pediatric urologist include nephrectomy for various benign diseases, ureteral surgery for reflux, bladder autoaugmentation, and hernia repair. Laparoscopic possibilities are limited only by imagination and technology. A skeptical approach is justified and judicious application of these technologies in children is essential. Just as the child is not a small adult, pediatric laparoscopy is not just the use of smaller instruments.
腹腔镜检查已在小儿泌尿外科用于诊断不可触及睾丸超过十五年。随着近期泌尿外科腹腔镜检查的迅速发展，腹腔镜手术技术在小儿泌尿外科的应用扩展是不可避免的。虽然小儿的需求与成人不同，有时甚至存在差异，但这项不断发展的技术在儿童中可带来诸多益处。针对隐睾的诊断能力及介入手术正在不断完善。预计精索静脉曲张治疗及两性畸形评估方面的应用会增加。腹腔镜技术在小儿泌尿外科医生中的潜在应用包括各种良性疾病的肾切除术、输尿管反流手术、膀胱自体扩大术及疝修补术。腹腔镜的可能性仅受想象力和技术的限制。持怀疑态度是合理的，在儿童中明智地应用这些技术至关重要。正如儿童不是缩小版的成人一样，小儿腹腔镜检查也不只是使用更小的器械。
