Perovic S, Janic N
University Children's Hospital, Department of Urology, Belgrade, Yugoslavia.
Br J Urol. 1997 Jan;79(1):120-1. doi: 10.1046/j.1464-410x.1997.27125.x.
To highlight the problem of the short vas deferens in a single stage or staged laparoscopic orchidopexy.
From October 1992 to February 1996, 23 patients (mean age 4.9 years, range 12 months to 12 years) underwent a laparoscopic staged Fowler-Stephens orchidopexy. During the second stage (open surgery), a short vas deferens was found in three patients; two testes were located retrovesically and one was in the internal inguinal ring. Two testes could not be brought into the scrotum, but only to the inguinal region, and one testis was placed in the scrotum but under tension.
The patients were followed for 12, 19 and 28 months; the testis under tension became fully atrophic. One of the two testes that could not be placed further than the inguinal canal developed marked hypotrophy, while the other "survived'.
A laparoscopic staged Fowler-Stephens orchidopexy should not used in patients with a very short vas deferens; patients with such a short vas deferens are extremely rare.
强调在一期或分期腹腔镜睾丸固定术中短输精管的问题。
1992年10月至1996年2月，23例患者（平均年龄4.9岁，范围12个月至12岁）接受了腹腔镜分期Fowler-Stephens睾丸固定术。在第二阶段（开放手术），3例患者发现输精管短；2个睾丸位于膀胱后，1个位于腹股沟内环。2个睾丸无法放入阴囊，只能置于腹股沟区，1个睾丸放入阴囊但处于张力状态。
对患者随访12、19和28个月；处于张力状态的睾丸完全萎缩。2个无法置于腹股沟管以外的睾丸中，1个出现明显萎缩，另1个“存活”。
对于输精管极短的患者不应采用腹腔镜分期Fowler-Stephens睾丸固定术；输精管如此短的患者极为罕见。
