Hemiscrotectomy with contralateral testicular transposition for scrotal cancer
Hemiscrotectomy with contralateral testicular transposition for scrotal cancer
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DOI：
10.1016/s0022-5347(05)64460-6
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发表时间：
2002-10-01
影响因子：
6.6
通讯作者：
Mas, AG
中科院分区：
文献类型：
--
作者：
Arango, O;Bielsa, O;Mas, AG
目的：广泛切除阴囊肿瘤会导致严重的缺陷，在某些情况下，阴囊的内容物不能保留。我们描述了一个hemiscrotectomy技术与移位的睾丸对侧hemiscrotum，有利于关闭的手术伤口，并允许保存tests.Materials和方法：我们的程序被用于3例阴囊肿瘤，其中2例鳞状细胞癌和1例乳房外佩吉特病。在切除受肿瘤影响的半阴囊（包括阴囊壁的所有层）后，通过在阴囊内侧隔上开一个缝，将睾丸转移到对侧半阴囊。结果：3例患者分别于术后8年、7年和4年无瘤生存。干预后，他们仍然没有疼痛。没有一个鞘膜积液或附睾炎继发于放置2睾丸在同一hemiscrotum.Conclusions：在适当的候选人，这种技术可以很容易地重建阴囊缺损肿瘤切除后，没有任何需要皮瓣或游离植皮。该手术可以保留阴囊内容物，并进行更彻底的治疗，因为阴囊壁被完全切除。
Purpose: Wide excision of scrotal tumors results in serious defects to such an extent that in some cases the contents of the scrotum cannot be preserved. We describe a hemiscrotectomy technique with transposition of the testis to the contralateral hemiscrotum that facilitates closure of the surgical wound and allows preservation of the testis.Materials and Methods: Our procedure was used in 3 patients with scrotal neoplasia, including 2 with squamous cell carcinoma and 1 with extramammary Paget's disease. After excision of the hemiscrotum affected by the tumor, which includes all layers of the scrotal wall, the testis is transposed into the contralateral hemiscrotum through a slit made in the medial scrotal septum. The defect is easily closed by apposing the surgical wound edges.Results: The 3 men were disease-free 8, 7 and 4 years after surgery, respectively. After intervention they remained pain-free. None had hydrocele or epididymitis secondary to placement of the 2 testes in the same hemiscrotum.Conclusions: In appropriate candidates this technique allows the scrotal defect to be easily reconstructed after tumor excision without any need for skin flaps or free skin grafts. The procedure makes it possible to preserve the scrotal content and perform more radical treatment since the scrotal wall is completely excised.