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1 病例摘要 患者男,59岁,因自幼左侧阴囊空虚以左侧隐睾入院。查体见第二性征发育良好,右侧睾丸附睾正常,左侧阴囊空虚,左腹股沟区未触及睾丸组织,腹部未扪及包块。B超示膀胱左侧偏后探及5cm×3cm实质回声区。经术前准备,在硬膜外麻醉下行腹腔镜隐睾探查术,先在脐下缘作1cm切口,穿刺气腹针,由于患者肥胖,气腹针刺不进腹腔,所以改在脐上缘穿刺制造气腹,并穿刺
A case summary Male patient, 59 years old, because of left scrotum emptiness to the left cryptorchidism hospitalized. Physical examination showed secondary sexual development well, the right testis epididymis normal, left scrotum empty, left groin area did not touch the testicular tissue, abdomen not palpable mass. B ultrasound showed partial exploration of the left side of the bladder and 5cm × 3cm real echo area. After preoperative preparation, laparoscopic cryptorchidism exploration under epidural anesthesia, at the edge of the first umbilical incision for 1cm, puncture pneumoperitoneum, due to obesity, pneumoperitoneum acupuncture do not enter the abdominal cavity, so changed in the upper edge of the umbilical cord Puncture to create pneumoperitoneum, and puncture