单孔腹腔镜经腹膜外封闭在VAS输精管和睾丸灌注的影响方向和体积-从一个单一的中心的经验

单孔腹腔镜经腹膜外封闭在VAS输精管和睾丸灌注的影响方向和体积-从一个单一的中心的经验
Effects of single-port laparoscopic percutaneous extraperitoneal closure on the orientation of the vas deferens and testicular perfusion and volume- Experience from a single center

Abstract
OBJECTIVE:
To investigate the influence of single-port laparoscopic percutaneous extraperitoneal closure (LPEC) on the orientation of the vas deferens and testicular perfusion and volume in pediatric patients undergoing inguinal hernia repair.
摘要
目的：
探讨单孔腹腔镜经腹膜外闭合的影响（LPEC）对VAS定位输精管和小儿腹股沟疝修补术，睾丸血流灌注量。

METHODS:
A total of 92 consecutively enrolled boys preoperatively diagnosed with a unilateral inguinal hernia underwent single-port LPEC between June 2013 and June 2014. The orientation of the vas deferens and the testicular perfusion and volume of these patients were ultrasonographically assessed preoperatively, one month after surgery and six months after surgery.
方法:
共有92术前诊断为单侧腹股沟疝连续纳入男孩接受了单端口LPEC，2013年6月和2014年6月间进行了术前超声检查评估。输精管输精管的取向和睾丸灌注和这些患者的体积进行超声术前评估，术后1个月和术后六个月。

RESULTS:
The surgical procedures were performed successfully without conversion or serious perioperative complications. Ultrasonography showed no angulation or distortion of the vas deferens on the surgical side during a six-month follow-up period. Similarly, there were no perioperative changes in testicular perfusion or volume.
结果:
无转换或严重的围手术期并发症的手术治疗成功。超声检查显示没有VAS成角或变形手术侧输精管在为期6个月的随访期间。同样，有没有围手术期的变化在睾丸灌注或体积。

CONCLUSION:
Our experience suggests that the single-port LPEC technique can be safe and effective in pediatric patients with an inguinal hernia and that this technique does not affect the orientation of the vas deferens or testicular perfusion or volume.
结论：
我们的经验表明，单端口LPEC技术可以安全有效的小儿腹股沟疝，该技术不影响输精管定位输精管或睾丸灌注或体积。

KEYWORDS:
Laparoscopic percutaneous extraperitoneal closure; Pediatric inguinal hernia; Single port; Ultrasound sonography; Vas deferens
关键词：
腹腔镜经腹膜外术；小儿腹股沟疝；单端口；超声；输精管

单孔腹腔镜经腹膜外封闭在VAS输精管和睾丸灌注的影响方向和体积-从一个单一的中心的经验

Figure 1 The needle passing along the extraperitoneal space.
图1针沿着腹膜外间隙。

单孔腹腔镜经腹膜外封闭在VAS输精管和睾丸灌注的影响方向和体积-从一个单一的中心的经验

Figure 2 An Endoclose needle extricating the free end of the suture.
图2 一个endoclose针的缝合线的自由端出来。

单孔腹腔镜经腹膜外封闭在VAS输精管和睾丸灌注的影响方向和体积-从一个单一的中心的经验

Figure 3 The orientation of the vas deferens preoperative (capital letter A represents the orientation).
图3输精管术前的方向（大写字母A代表的方位）。

单孔腹腔镜经腹膜外封闭在VAS输精管和睾丸灌注的影响方向和体积-从一个单一的中心的经验

Figure 4 The orientation of the vas deferens after 6 mos postoperative (capital letter A represents the orientation).
图4 定位后的VAS 6 MOS术后输精管（大写字母A代表的方位）。

原文：
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