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腹腔检查腹腔内丸的结果:一个单一的机构经验

Maria G Sacco Casamassima¹, Seth Saylors², Janelle R Noel-Macdonnell³

¹Department of Surgery, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA; University of Missouri- Kansas City School of Medicine, 2411 Holmes St, Kansas City, MO, 64108, USA.

Journal of pediatric surgery

|December 18, 2025

概括

对于带有短精子血管的腹内未下降丸 (IAT),单阶段的骨髓缩可能会增加缩风险. 保存古伯纳库勒姆消除了IAT管理的单阶段和两阶段方法之间的差异.

科学领域:

儿科手术儿科手术
泌尿器科泌尿器科泌尿器科泌尿器科
手术结果研究研究.

背景情况:

使用短精子血管治疗腹部内未下降丸 (IAT) 提出了手术上的挑战.
对IAT的最佳外科手术技术仍在争论中,需要进一步研究患者和外科预测结果的预测因素.

研究的目的:

审查机构在管理IAT方面的经验.
为了探索影响IAT orchiopexy结果的患者和手术因素.

主要方法:

对10岁以下的儿童进行腹腔镜骨干切除术进行IAT (2013-2023) 的回顾性研究.
没有船分 (DO) 的直接orchiopexy与有船分的单阶段 (SSO) 和两阶段 (2SO) orchiopexy的比较.
主要结局:丸缩率;次要结局:最终丸位置,重新手术率.

主要成果:

进行了298次IAT形术:112个DO,98个SSO,88个2SO.
丸缩率:6.2% (DO),19.3% (SSO),10.7% (2SO) (p=0.019). testicular atrophy rate:6.2% (DO),19.3% (SSO),10.7% (2SO) (p=0.019). testicular atrophy rate:6.2% (DO),19.3% (SSO),10.7% (2SO) (p=0.019). testicular atrophy rate:6.2% (DO),19.3% (SSO),10.7% (2SO) (p=0.019). testicular atrophy rate:6.2% (DO) testicular atrophy rate:6.2% (DO) testicular atrophy rate:9.3% (SSO) testicular atrophy rate:0.019 testicular atrophy rate:0.019 testicular atrophy rate:0.019 testicular atrophy rate:0.019 testicular atrophy rate:0.019 testicular atrophy rate:0.019
没有发现显著的缩预测因素;SSO显示了比2SO更高的缩趋势 (p=0.132).

结论:

单阶段性骨衰竭 (SSO) 可能与较高的丸缩率有关,当精子血管短时.
在IAT中,保存古伯纳库勒姆消除了单阶段和两阶段的奥基奥佩克西之间的结果差异.

关键词:

在腹部内丸.laparoscopic orchiopexy 拉巴洛斯科比或奇奥佩克西拉巴洛斯科比或奇奥佩克西拉巴洛斯科比或奇奥佩克西拉巴洛斯科比或奇奥佩克西儿科儿科儿科风险因素风险因素丸缩症丸缩症丸缩症

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