腹腔镜辅助睾丸自体移植治疗腹腔内隐睾
Laparoscopically assisted testicular autotransplantation for management of the intraabdominal undescended testis.
作者信息
Wacksman J, Billmire D A, Lewis A G, Sheldon C A
机构信息
Division of Pediatric Urology, Children's Hospital Medical Center, University of Cincinnati, Ohio, USA.
出版信息
J Urol. 1996 Aug;156(2 Pt 2):772-4. doi: 10.1097/00005392-199608001-00058.
PURPOSE
The intra-abdominal testis continues to present a considerable urological challenge and the approach to its management continues to evolve. We report our initial experience with laparoscopically assisted testicular autotransplantation.
MATERIALS AND METHODS
An intra-abdominal testicle was identified laparoscopically in 5 patients who subsequently underwent testicular autotransplantation.
RESULTS
The success rate was 100% and median operative time was 5 hours. All patients were discharged home the day after surgery with no complications and a good result.
CONCLUSIONS
Because of success with this technique, this procedure offers significant advantages (decreased hospital stay and lower morbidity) than an open or 2-stage Fowler-Stephens approach.
目的
腹腔内睾丸仍然是一个重大的泌尿外科挑战，其治疗方法也在不断发展。我们报告了我们在腹腔镜辅助睾丸自体移植方面的初步经验。
材料与方法
通过腹腔镜在5例患者中发现腹腔内睾丸，随后这些患者接受了睾丸自体移植。
结果
成功率为100%，中位手术时间为5小时。所有患者术后次日出院，无并发症，效果良好。
结论
由于该技术取得成功，与开放手术或两阶段福勒 - 斯蒂芬斯方法相比，该手术具有显著优势（缩短住院时间和降低发病率）。
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