在某些领域内,腹腔镜外科正在代替常规的开放手术。自1993年5月,作者成功地为3例双侧精索静脉曲张患者经腹腔镜行双侧精索内静脉高位结扎术。1例行气管插管全麻,另2例行硬膜外麻醉。术中2例患者分别行下腹部穿刺三个套管针,1例仅穿刺二个套管针。该术式对患者损伤小,术后恢复快,效果满意。本文介绍了手术的主要步骤,并对腹腔镜操作进行了探索。 In some areas, laparoscopic surgery is replacing conventional open surgery. Since May 1993, the authors successfully performed laparoscopic bilateral spermatic vein ligation in 3 patients with bilateral varicocele. 1 routine tracheal intubation general anesthesia, the other 2 cases of epidural anesthesia. Two patients underwent abdominal puncture three trocars, one puncture only two trocars. The surgical injury to patients is small, fast recovery, the effect is satisfactory. This article describes the major steps of surgery and explores laparoscopic procedures.