[1]江春,黄健,林天歆,等.经脐单一切口腹腔镜联合2 mm trocar治疗腹腔型隐睾[J].中国微创外科杂志,2011,11(11):1027-1029.
 Jiang Chun,Huang Jian,Lin Tianxin,et al.Transumbilical Singleport Laparoscopic Surgery Combined with 2mm Trocar for Abdominal Undescended Testis[J].Chinese Journal of Minimally Invasive Surgery,2011,11(11):1027-1029.
点击复制

经脐单一切口腹腔镜联合2 mm trocar治疗腹腔型隐睾()
分享到:

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
11
期数:
2011年11期
页码:
1027-1029
栏目:
术式探讨
出版日期:
2011-11-20

文章信息/Info

Title:
Transumbilical Singleport Laparoscopic Surgery Combined with 2mm Trocar for Abdominal Undescended Testis
作者:
江春黄健林天歆韩金利黄海许可慰谢文练姚友生
中山大学孙逸仙纪念医院泌尿外科,广州510120
Author(s):
Jiang Chun Huang Jian Lin Tianxin et al.
Department of Urology, Sun Yatsen Memorial Hospital, Sun Yatsen University, Guangzhou 510120, China
关键词:
经脐单孔腹腔镜手术隐睾腹腔镜
Keywords:
Transumbilical singleport laparoscopic surgeryUndescended testisLaparoscopy
分类号:
R697+.2
文献标志码:
B
摘要:
目的探讨经脐单一切口腹腔镜联合2 mm trocar治疗腹腔型隐睾的应用价值。方法2009年11月~2011年1月,采用经脐单一切口腹腔镜联合2 mm trocar治疗11例腹腔型隐睾。脐下缘1.5 cm弧形切口,置入自制多通道trocar,置入5 mm腹腔镜和操作器械1把,脐与耻骨联合连线中点处直接穿刺置入2 mm trocar,置入2 mm腹腔镜抓钳,进行手术。结果10例11侧成功将隐睾下降固定于阴囊;1例1侧行隐睾切除术。手术时间30~70 min,平均45 min。无手术并发症发生。10例随访3~14个月,平均8.8月,未发现下降的睾丸萎缩。结论经脐单一切口腹腔镜联合2 mm trocar治疗操作不复杂的腹腔型隐睾可行。
Abstract:
ObjectiveTo evaluate transumbilical singleport laparoscopic orchiopexy combined with 2mm trocar for abdominal undescended testis. MethodsFrom November 2009 to January 2011, we performed transumbilical singleport laparoscopic orchiopexy combined with 2mm trocar on 11 patient with nonpalpable undescended testis. A domestic multichannel port was inserted through a 1.5cm umbilical incision, and a 2mm trocar was inserted at the middle point between the pubis and umbilicus. A 5mm laparoscope, 5mm instrument and a 2mm laparoscopic forceps were applied in the procedure. ResultsThe operations, including 10 cases of orchiopexy, and 1 case of orchidectomy because of testicular hypoplasia, were completed successfully within a mean of 45 min (30-70 min). Ten patients were followed up for 3-14 months with a mean of 88 months, during which no testicular atrophy was found. ConclusionsTransumbilical singleport laparoscopic surgery combined with 2mm trocar is feasible for uncomplicated abdominal undescended tesits.

参考文献/References:

[1]Tsai AY, Selzer DJ. Singleport laparoscopic surgery. Adv Surg, 2010,44:1-27.
[2]Canes D, Desai MM, Aron M, et al. Transumbilical singleport surgery: evolution and current status. Eur Urol, 2008, 54(5):1020-1029.
[3]韩金利, 黄健, 许可慰, 等.经脐单孔腹腔镜乳头式输尿管膀胱再植术初步体会.中山大学学报(医学科学版), 2010, 31(3):448-450.
[4]林天歆,黄健,江春,等.腹膜外入路经脐单孔腹腔镜下前列腺癌根治术11例报告. 中华泌尿外科杂志, 2011, 32(2): 94-98.
[5]Champagne BJ, Lee EC, Leblanc F, et al. Singleincision vs straight laparoscopic segmental colectomy: a casecontrolled study. Dis Colon Rectum, 2011,54(2):183-186.
[6]黄健, 林天歆, 许可慰, 等.改良单孔腹腔镜下膀胱前列腺根治性切除-原位回肠新膀胱术应用分析. 中华医学杂志,2010,90(22):1542-1546.
[7]Rané A, Rao P, Rao P. Singleportaccess nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (RPort). Urology, 2008, 72: 260-263.
[8]Symes A, Rane A. Urological applications of singlesite laparoscopic surgery. J Minim Access Surg, 2011, 7(1):90-95.
[9]Desai MM, Berger AK, Brandina R, et al. Laparoendoscopic singlesite surgery: initial hundred patients. Urology, 2009, 74:805-812.
[10]White WM, Haber GP, Goel RK, et al. Singleport urological surgery: singlecenter experience with the first 100 cases. Urology, 2009, 74:801-804.
[11]黄健,许可慰,林天歆,等.自制套管行单孔后腹腔镜肾部分切除术.临床泌尿外科杂志, 2010, 25(3): 168-171,175.
[12]Sultan RC, Johnson KC, Ankem MK, et al. Laparoendoscopic single site orchiopexy. J Pediatr Surg, 2011, 46(2):421-423.
[13]Montero PN, Acker CE, Heniford BT,et al. Single incision laparoscopic surgery (SILS) is associated with poorer performance and increased surgeon workload compared with standard laparoscopy. Am Surg, 2011,77(1):73-77.

备注/Memo

备注/Memo:
国家重大项目卫生行业公益性事业专项(200802015);教育部博士点基金(No:20060558027);广州市科技局重点项目(No: 2005Z2-E0121);中山大学5010项目(2007018);卫生部临床重点项目(2007黄健)黄健通讯作者,Email: yehjn@yahoo.com.cn
更新日期/Last Update: 2013-05-06