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中华腔镜泌尿外科杂志(电子版)

中华腔镜泌尿外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (04) : 278 -280. doi: 10.3877/cma.j.issn.1674-3253.2018.04.016

所属专题： 文献；

临床研究

隐睾合并腹股沟疝腹腔镜手术中关闭内环口的必要性探讨
刘宗来1,†(), 向景2, 张志1, 卢胜飞1, 杜丛林1, 杜丹1   
  1. 1. 443000　湖北，宜昌市第二人民医院泌尿外科（三峡大学泌尿外科研究所）
    2. 443000　湖北，宜昌市第二人民医院超声科
  • 收稿日期:2017-03-11 出版日期:2018-08-01
  • 通信作者: 刘宗来
  • 基金资助:
    三峡大学研究生科研创新基金项目(编号SDYC2016095)

The necessary of closure of internal ring for cryptorchidism complicated with ipsilateral indirect inguinal hernia during laparoscopic surgery

Zhonglai Liu1,†(), Jing Xiang2, Zhi Zhang1, Shengfei Lu1, Chonglin Du1, Dan Du1   

  1. 1. Department of Urology, the Second people's Hospital of Yichang, Hubei 443000, China
    2. Department of Ultrasound, the Second people's Hospital of Yichang, Hubei 443000, China
  • Received:2017-03-11 Published:2018-08-01
  • Corresponding author: Zhonglai Liu
  • About author:
    Corresponding author: Liu Zhonglai, Email:
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引用本文：

刘宗来, 向景, 张志, 卢胜飞, 杜丛林, 杜丹. 隐睾合并腹股沟疝腹腔镜手术中关闭内环口的必要性探讨[J]. 中华腔镜泌尿外科杂志(电子版), 2018, 12(04): 278-280.

Zhonglai Liu, Jing Xiang, Zhi Zhang, Shengfei Lu, Chonglin Du, Dan Du. The necessary of closure of internal ring for cryptorchidism complicated with ipsilateral indirect inguinal hernia during laparoscopic surgery[J]. Chinese Journal of Endourology(Electronic Edition), 2018, 12(04): 278-280.

目的

探讨腹腔镜治疗小儿隐睾合并同侧腹股沟斜疝术中关闭内环口是否必要。

方法

收集2009年6月至2016年5月间宜昌市第二人民医院50例隐睾合并同侧腹股沟斜疝行腹腔镜睾丸下降固定术的患儿临床资料。腹腔镜下彻底游离精索后所有的睾丸均经腹股沟管下降至阴囊，内环口均未缝合关闭。观察手术时间、睾丸下降情况及并发症等。

结果

50例患儿鞘状突均未闭合，其中腹股沟管型隐睾39例，腹腔型隐睾11例。平均手术时间72 min，所有患儿睾丸均一期下降固定于阴囊。所有病例随访时间9个月至6.5年，中位时间3年，睾丸回缩至阴囊上方3例，超声复查无一例患儿腹股沟斜疝复发。

结论

隐睾合并同侧腹股沟斜疝行腹腔镜睾丸下降固定术安全、有效，术中缝合关闭内环口也许是不必要的。

关键词: 腹腔镜, 隐睾, 腹股沟斜疝, 内环口
Objective

To explore the necessary of closure of the internal ring for cryptorchidism complicated with ipsilateral indirect inguinal hernia.

Methods

Clinical data of 50 children with cryptorchidism complicated with ipsilateral indirect henia from June 2009 to May 2016 were analyzed in this study. All the cases underwent laparoscopic orchiopexy. All testes after complete mobilization were pulled down into the scrotum through the inguinal canal. No suture was applied to close the internal ring. The operative duration, profile of testicular descending and complication were assessed.

Results

Patent processus vaginalis was found in all 50 cases. There were 39 cases with inguinal canal cryptorchidism, 11 cases with intra-abdominal cryptorchidism. The mean operative time was 72 minutes. Primary orchidopexy was performed in all cases. The median follow up of all cases was 3 years (9 months to 6.5 years). There were 3 cases of testicular retraction to the top of the scrotum. No case was found recurrence of a hernia in ultrasound examination.

Conclusion

Laparoscopic orchidopexy is a safe and effective approach for children with cryptorchidism complicated with ispilateral indirect hernia. The closure of internal ring may not be necessary.

Key words: Laparoscopy, Cryptorchidism, Indirect inguinal hernia, Internal ring
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