保留睾丸引带在腹腔镜小儿腹腔型隐睾手术中的应用

目的:探讨保留睾丸引带在腹腔镜小儿腹腔型隐睾手术中的疗效.方法:回顾分析2007年6月至2010年8月为24例腹腔型隐睾患儿行腹腔镜睾丸阴囊肉膜囊固定术的临床资料,术中保留睾丸引带和精索双向血供.结果:24例均成功完成腹腔镜Ⅰ期睾丸下降固定术,无一例中转手术,手术时间45～60 min,平均55 min,无并发症发生....

Retention of gubernaculum testis in laparoscopic operation for child abdominal cryptorchidism

Objective: To explore the clinical effects of retention of gubernaculum testis in laparoscopic operation for child abdominal cryptorchidism. Methods:From Jun.2007 to Aug.2010,24 children with abdominal cryptorchidism underwent laparoscopic testicular scrotal dartos orchiopexy.The gubernaculum testis and spermatic cord two-way blood supply were reserved. Results:The one-stage laparoscopic orchiocatabasis and orchiopexy was successfully performed in 24 patients without conversion to open surgery.The operative time was 45-60 min(mean,55 min).No complications were found.Postoperative follow-up varied from 6 months to 36 months(mean,16 months),descending testis did not retract or atrophy. Conclusions:The one-stage laparoscopic orchiocatabasis and orchiopexy with retention of gubernaculum testis for abdominal crptorchidism is mini-invasive,its operative time is short,and postoperative testicular blood supply is good.