後腹膜到達法による腹部停留睾丸に対する Testicular Autotransplantation

抄録

Microsurgical orchidopexy was successfully performed by retroperitoneal approach on a 2 years and 5 months old boy with a right abdominal testicle. A Skin incision was made as a usual inguinal oblique incision and was extended by 10cm vertically from lateral end of the incision. External and internal oblique musles were cut and retroperitoneal space was roughly opened widely which enabled dissection of right testicular artery and vein to their point of connection with abdominal aorta and caval vein. Testicular vessels were cut at that point and anastomosed to the right inferior epigastric vessels end to end under operating microscope with 10-0 Nylon sutures. The testicle was fixed in the scrotum. Two years have passed after the operation and the testicle is growing normally in the scrotum. The microsurgical orchidopexy by retroperitoneal approach has its merits especially for young infants, as it gives sufficiently wide operating fieid and safe and smooth postoperative recovery without any trouble due to intestinal adhesions.