A new orchiopexy in lateral position for intraabdominal testis―One-staged laparoscopic testicular artery and gubernaculum sparing orchiopexy through inguinal canal using real-time vessel navigation with indocyanine green fluorescence to evaluate blood flow of testicular artery

DOI
  • Sakamoto Wataru
    香芝生喜病院小児泌尿器科
  • Yamamoto Tomoki
    香芝生喜病院小児泌尿器科 大阪市立大学大学院医学研究科　泌尿器病態学
  • Aoyama Masato
    香芝生喜病院小児泌尿器科 大阪市立大学大学院医学研究科　泌尿器病態学
  • Ishii Keiich
    大阪市立総合医療センター小児泌尿器科
  • Uchida Junji
    大阪市立大学大学院医学研究科　泌尿器病態学

Bibliographic Information

Other Title
  • 腹腔内精巣に対する新しい術式―側臥位による, 精巣動脈・精巣導体温存, 鼠径管経由, ICG蛍光腹腔鏡下一期的精巣固定術―

Abstract

<p>  As a new orchiopexy for intraabdominal testis, we performed the one-staged laparoscopic testicular artery and gubernaculum-sparing orchiopexy through inguinal canal using real-time vessel navigation with indocyanine green fluorescence (ICG) to evaluate blood flow of testicular artery. The peritoneum attached to testicular arteries and veins was completely peeled off to the origin of these vesseles. A new orchiopexy was performed in lateral position.</p><p>  We performed in 5 children with 7 months, 9 months, 11 months, 12 months, and 15 years old. All intraabdominal testes were unilateral, 3 cases in right side and 2 cases in left side. Two intraabdominal testes existed at inner inguinal ring, 2 testes in 2 cm from inner inguinal ring, and 1 testis in 4 cm from inner inguinal ring.</p><p>  All testes could be descended to the scrotum without tension, and The decrease in testicular artery blood flow due to ICG was not observed after orchiopexy. The operation time was 162±27 minutes. Postoperative observation period was 5 to 20 months and all testes were fixed in the middle scrotum and no atrophy was observed.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390854882599736320
  • DOI
    10.11302/jserjje.35.1_126
  • ISSN
    2436875X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Allowed

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