Application of mini-laparoscopy in the diagnosis and management of nonpalpable undescended testis in children
10.3760/cma.j.issn.1008-6706.2013.15.007
- VernacularTitle:微型腹腔镜在未触及型小儿隐睾诊治中的应用
- Author:
Zhihong LAI
;
Yanjun ZHENG
;
Fan ZHOU
;
Wenlong ZHENG
;
Zhijun LIU
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Cryptorchidism;
Child
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(15):2254-2256
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of mini-laparoscopy in the diagnosis and management of nonpalpable undescended testis in children.Methods 38 cases of impalpabal testes(46 testicular) had been operated by mini-laparoscopy in children with cryptorchidism.Results 38 children with nonpalpable undescended testis (46 testicular) had been operated by mini-laparoscope.Results After laparoscopic exploration,inguinal probe and postoperative pathology,it had been confirmed that 2 testicular were absent,34 testicular were found in high inguinal location,10 testicular were located in intraperitoneal cavity.In addition to the absent testicular,the rest had been performed with mini-laparoscope:one period descent fixation 41 testes,Fowler-Stephens (F-S) installment orchiopexy three testes.Follow-up with side testicular atrophy 2,including one period orchiopexy a testis,F-S installment fixation a testicular; Testicular rebound 1,who had been operated with one phase of testicular descent fixtion.Conclusion For inguinal failed to find the testicular,children with cryptorchidism should be done by laparoscopy because of its positioning accuracy,and most children can do a period drop fixed,but for those really intraperitoneal more exalted person,stage surgery should be needed.Its overall treatment effect is satisfactory and is worth popularizing.
