Bouhadiba Nordeen, Godbole Prasad, Marven Sean
Department of Paediatric Surgery, Sheffield Children's NHS Foundation Trust, Sheffield, United Kingdom.
J Laparoendosc Adv Surg Tech A. 2007 Oct;17(5):701-3. doi: 10.1089/lap.2006.0249.
Abdominoscrotal hydrocele (ASH) is reported with increasing frequency and is recognized to be responsible for complications not only related to the pressure effect on the contiguous structures, but a wide a variety of conditions, including hemorrhage and malignant transformation. Although there are only two reports in the literature of spontaneous resolution, the actual accepted consensus for treatment is complete excision. The surgical approaches are abdominal, scrotal or combined. There is no report in the literature of a laparoscopic excision of ASH. In this paper, we report on the first case to be treated with this approach and highlight the new advantages and simplicity in using this recommended technique.
腹阴囊鞘膜积液（ASH）的报道越来越多，人们认识到它不仅会导致与对相邻结构的压力效应相关的并发症，还会引发包括出血和恶变在内的多种病症。尽管文献中仅有两例自发消退的报道，但目前公认的治疗方法是完整切除。手术方式有经腹、经阴囊或联合手术。文献中尚无腹腔镜切除ASH的报道。在本文中，我们报告了首例采用这种方法治疗的病例，并强调了使用这种推荐技术的新优势和简便性。
