[1]许鹏周云**高靖达贾蓉①齐灿高栩贾鹏宇.针式抓钳辅助两孔腹腔镜手术治疗小儿腹阴囊鞘膜积液[J].中国微创外科杂志,2025,01(7):438-441.
　Xu Peng,Zhou Yun,Gao Jingda,et al.Needle Grasper Assisted Twoport Laparoscopic Surgery for Pediatric Abdominoscrotal Hydrocele[J].Chinese Journal of Minimally Invasive Surgery,2025,01(7):438-441.
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针式抓钳辅助两孔腹腔镜手术治疗小儿腹阴囊鞘膜积液()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2025年7期
页码:
438-441
栏目:
经验交流
出版日期:
2025-07-30

文章信息/Info

Title:
Needle Grasper Assisted Twoport Laparoscopic Surgery for Pediatric Abdominoscrotal Hydrocele
作者:
许鹏周云**高靖达贾蓉①齐灿高栩贾鹏宇
(河北省儿童医院泌尿外科石家庄050000)
Author(s):
Xu Peng;  Zhou Yun;  Gao Jingda;  et al.
Department of Urology, Hebei Province Children’s Hospital, Shijiazhuang 050000, China
关键词:
腹阴囊鞘膜积液; 腹腔镜手术; 针式抓钳; 儿童
Keywords:
Abdominoscrotal hydrocele; Laparoscopy; Needle grasper; Child
文献标志码:
B
摘要:
目的探讨针式抓钳(疝气针)辅助两孔腹腔镜囊肿开窗去顶联合鞘状突高位结扎治疗小儿腹阴囊鞘膜积液的安全性、有效性。方法回顾性分析2019年1月~2023年1月两孔腹腔镜手术治疗腹阴囊鞘膜积液15例资料。脐两侧缘切口置入腹腔镜和操作器械，针式抓钳从腹腔内囊肿的体表投影处进入腹腔，利用钳抓功能夹住囊肿的无血管区，配合组织剪或电钩将腹腔内囊肿开窗去顶；利用针式抓钳将鞘状突双重丝线结扎，打结时采用牵拉式双重丝线打结。结果15例均顺利在腹腔镜下完成手术。9例单侧者手术时间(28.2±6.8)min；6例合并对侧鞘膜积液，手术时间(35.2±4.6)min。术后无血肿、感染等并发症。术后随访12~16个月，超声显示鞘膜积液无复发，无医源性隐睾、睾丸萎缩等并发症。结论在腹阴囊鞘膜积液手术中，利用针式抓钳配合两孔腹腔镜操作，可有效实现腹腔内囊肿去顶开窗和内环口双重结扎，安全性高。
Abstract:
ObjectiveTo evaluate the safety and efficacy of needle grasper (hernia needle) assisted twoport laparoscopic cyst fenestration with deroofing combined with high ligation of the processus vaginalis for pediatric abdominoscrotal hydrocele.MethodsClinical data of 15 patients undergoing twoport laparoscopic surgery between January 2019 and January 2023 were retrospectively analyzed. Two 5mm ports were created at bilateral umbilical margins. The needle grasper was introduced through the abdominal wall projection of the cyst, grasping the avascular area to facilitate cyst deroofing using endoscopic scissors or electrocautery hooks. High ligation of the processus vaginalis was achieved via tractionassisted double silk ligation under laparoscopic guidance.ResultsAll the procedures were successfully completed laparoscopically. The mean operative time was (28.2±6.8) min for unilateral cases (n=9) and (35.2±4.6) min for bilateral cases (n=6). No postoperative complications such as hematoma or infection occurred. The patients were followed up for 12-16 months after surgery. Ultrasound showed no recurrence of hydrocele and no complications such as iatrogenic cryptorchidism or testicular atrophy.ConclusionThe application of needle grasper in conjunction with twoport laparoscopic procedures effectively achieves intracorporeal cyst deroofing with fenestration and double ligation of the internal inguinal ring during abdominoscrotal hydrocele repair, demonstrating high safety profiles.

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备注/Memo

备注/Memo:
基金项目：河北省医学科学研究课题计划资助(20231147)**通讯作者，Email：340618928@qq.com①神经康复科
更新日期/Last Update: 2025-09-18