患者男，60岁。因左侧腹股沟区坠胀不适2年人院。体检发现左侧阴囊明显低于右侧，表面可见由张的静脉，阴囊内可触及屈曲如蚯蚓样的精索静脉，平卧时扩张充盈的静脉顿时缩小。诊断为重度左侧精索静脉曲张。于1994年］2月17日行腹腔镜精索静脉结扎术。采用硬膜外麻醉，头低脚高 Male patient, 60 years old. Due to the left groin area discomfort 2 years hospital. Physical examination found that the left scrotum was significantly lower than the right side of the surface can be seen by Zhang’s veins, scrotum can reach the scrotum, such as earthworm-like varicocele, supine filling expansion of the vein suddenly reduced. Diagnosis of severe left varicocele. In 1994] February 17 laparoscopic varicocele ligation. Epidural anesthesia, low head high