Boeckmann W, Brauers A, Mersdorf A, Rohrmann D, Jakse G
Department of Urology, Medical School, Technical University, Aachen, Germany.
Scand J Urol Nephrol. 1996 Dec;30(6):479-84. doi: 10.3109/00365599609182327.
We report about laparoscopic examination and treatment of 19 patients with 25 non-palpable testes. Thirteen patients presented with unilateral and six patients with bilateral absent testes, respectively. In all cases of non-palpable testes laparoscopy was able to determine the exact localization and supported the surgical approach. Six testicles were treated by open orchiectomy after diagnostic laparoscopy; three testes were fixed by laparoscopically assisted orchiopexy. Three patients (three testicles) were treated by standard orchiopexy after laparoscopy and in three cases microvascular autotransplantation was performed. Laparoscopically, five aplastic testicles without vas and vessels were diagnosed. Three testes were considered as vanishing and in two patients (two testes) due to previous surgical exploration elsewhere testicular remnants were totally atrophic and were resected with the adjacent vas. All laparoscopic findings except the vanishing testis syndrome were proven either by open surgery or by laparoscopic preparation of the internal inguinal ring.
我们报告了19例有25个不可触及睾丸患者的腹腔镜检查及治疗情况。其中13例为单侧不可触及睾丸，6例为双侧睾丸缺如。在所有不可触及睾丸的病例中，腹腔镜检查能够确定确切位置并辅助手术方案制定。6个睾丸在诊断性腹腔镜检查后行开放睾丸切除术；3个睾丸通过腹腔镜辅助睾丸固定术固定。3例患者（3个睾丸）在腹腔镜检查后行标准睾丸固定术，3例进行了微血管自体移植。腹腔镜检查诊断出5个无输精管和血管的发育不全睾丸。3个睾丸被认为已消失，2例患者（2个睾丸）因之前在其他地方进行过手术探查，睾丸残余完全萎缩，与相邻输精管一并切除。除睾丸消失综合征外，所有腹腔镜检查结果均通过开放手术或腹腔镜腹股沟内环准备得到证实。
