Needle Grasper Assisted Two-port Laparoscopic Surgery for Pediatric Abdominoscrotal Hydrocele
10.3969/j.issn.1009-6604.2025.07.010
- VernacularTitle:针式抓钳辅助两孔腹腔镜手术治疗小儿腹阴囊鞘膜积液
- Author:
Peng XU
1
;
Yun ZHOU
;
Jingda GAO
Author Information
1. 河北省儿童医院泌尿外科 石家庄 050000
- Publication Type:Journal Article
- Keywords:
[Abdominoscrotal hydrocele;
Laparoscopy;
Needle grasper;
Child
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(7):438-441
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of needle grasper(hernia needle)assisted two-port laparoscopic cyst fenestration with deroofing combined with high ligation of the processus vaginalis for pediatric abdominoscrotal hydrocele.Methods Clinical data of 15 patients undergoing two-port laparoscopic surgery between January 2019 and January 2023 were retrospectively analyzed.Two 5-mm ports were created at bilateral umbilical margins.The needle grasper was introduced through the abdominal wall projection of the cyst,grasping the avascular area to facilitate cyst deroofing using endoscopic scissors or electrocautery hooks.High ligation of the processus vaginalis was achieved via traction-assisted double silk ligation under laparoscopic guidance.Results All the procedures were successfully completed laparoscopically.The mean operative time was(28.2±6.8)min for unilateral cases(n=9)and(35.2±4.6)min for bilateral cases(n=6).No postoperative complications such as hematoma or infection occurred.The patients were followed up for 12-16 months after surgery.Ultrasound showed no recurrence of hydrocele and no complications such as iatrogenic cryptorchidism or testicular atrophy.Conclusion The application of needle grasper in conjunction with two-port laparoscopic procedures effectively achieves intracorporeal cyst deroofing with fenestration and double ligation of the internal inguinal ring during abdominoscrotal hydrocele repair,demonstrating high safety profiles.
