[1]黄海,叶枫,林天歆,等.经脐单孔腹腔镜下隐睾下降固定术治疗小儿隐睾初步报告[J].中华腔镜泌尿外科杂志(电子版),2010,(01):6-8.
　HUANG Hai,YE Feng,LIN Tian-xin,et al.The initial report of treatment of pedo-undescendented testis by transumbilical single-port laparoscopy[J].,2010,(01):6-8.
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经脐单孔腹腔镜下隐睾下降固定术治疗小儿隐睾初步报告()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2010年01期
页码:
6-8
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
The initial report of treatment of pedo-undescendented testis by transumbilical single-port laparoscopy
作者:
黄海; 叶枫; 林天歆; 尹心宝; 刘浩; 韩金利; 郭正辉; 许可慰; 江春; 姚友生; 谢文练; 董文; 张彩霞; 黄健
中山大学附属第二医院泌尿外科,广州,510120
Author(s):
HUANG Hai; YE Feng; LIN Tian-xin; YIN Xin-bao; LIU Hao; HAN Jin-li; GUO Zheng-hui; XU Ke-wei; JIANG Chun; YAO You-sheng; XIE Wen-lian; DONG Wen; ZHANG Cai-xia; HUANG Jian
关键词:
腹腔镜; 隐睾; 单孔; 治疗
摘要:
目的 探讨经脐进行单孔多通道腹腔镜下小儿的隐睾下降固定术的可行性并评价治疗效果.方法 自09年6月至10月,共13例(14侧)患者接受该手术,均取脐作为操作通道,用切开法进入腹腔,将自制单孔多通道套管经脐置入腹腔,从通道内进腹腔镜及两个腹腔镜器械进行操作.将睾丸及精索血管充分游离后,通过腹股沟管将睾丸固定到肉膜外层,用可吸收线缝合伤口.结果 手术均获成功,其中11例行一期隐睾下降固定术,2例因睾丸发育不良行睾丸切除术.套管制作平均时间为3min,通道建立时间为5±2min,手术时间17±7min,术中平均出血30±12ml,术后住院时间3.5±1.1d.术中、术后均无并发症发生,术后2周复查脐部切口无明显疤痕,睾丸位于阴囊内.结论 经脐单孔腹腔镜隐睾下降固定术治疗小儿隐睾简单易行、安全有效,但操作难度较常规腹腔镜手术复杂,脐部单孔多通道套管及腹腔镜手术器械有待进一步完善和改进.单孔法创伤更小,几乎无疤痕,是一种具有一定优势的微创手术方法,但须掌握正确的操作方法.

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更新日期/Last Update: 1900-01-01