{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T23:40:14Z","timestamp":1792539614003,"version":"4.5.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pediatric noncommunicating hydrocele (NCH) requires surgical treatment when spontaneous resolution does not occur. Although communicating hydrocele is typically treated with high ligation alone, NCH traditionally requires hydrocelectomy with high ligation. Evidence comparing laparoscopic hydrocelectomy and simple aspiration in children remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively analyzed 2500 children under 10 years who underwent laparoscopic management for NCH between 2016 and 2024. Patients were categorized into scrotal hydrocele (SH) and encysted spermatic cord hydrocele (ESCH), and surgical methods were classified as hydrocelectomy or aspiration, both combined with high ligation. Operative outcomes and recurrence were compared between subtypes and surgical techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 2500 patients (SH: 862; ESCH: 1638), ESCH had a significantly higher association with inguinal hernia (13.6% versus 9.2%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Most patients underwent hydrocelectomy (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2449, 98%), while 51 (2%) underwent aspiration. Recurrence was markedly higher after aspiration than hydrocelectomy (5.9% versus 0.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Complications were infrequent and comparable between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Laparoscopic hydrocelectomy with high ligation is a highly effective and safe treatment for pediatric NCH, with an exceptionally low recurrence rate. Aspiration showed inferior and inconsistent outcomes, suggesting that it should be reserved for very select cases. These findings support complete laparoscopic hydrocelectomy as the preferred minimally invasive technique for pediatric NCH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261461807","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T01:45:48Z","timestamp":1781833548000},"page":"918-925","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic Management of Pediatric Noncommunicating Hydrocele: A Comparative Study of Hydrocelectomy Versus Aspiration"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0201-0627","authenticated-orcid":false,"given":"Sung Ryul","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Surgery, Damsoyu Hospital, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jum.16380"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-022-05064-8"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2024.03.025"},{"key":"e_1_3_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5582-1"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2019.0730"},{"key":"e_1_3_6_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000514070"},{"key":"e_1_3_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.epsc.2017.09.010"},{"key":"e_1_3_6_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2018.0095"},{"key":"e_1_3_6_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2016.05.006"},{"key":"e_1_3_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-017-1715-7"},{"key":"e_1_3_6_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2021.671301"},{"key":"e_1_3_6_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.1994.8.415"},{"key":"e_1_3_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2015.07.007"},{"key":"e_1_3_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.07.032"},{"key":"e_1_3_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.03.007"},{"key":"e_1_3_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajum.12195"},{"key":"e_1_3_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2024.109619"},{"key":"e_1_3_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2009.07.002"},{"key":"e_1_3_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009736.pub2"},{"key":"e_1_3_6_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/children11040437"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261461807","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429261461807","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261461807","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T23:17:34Z","timestamp":1792538254000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429261461807"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,18]]},"references-count":20,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2026,12,1]]}},"alternative-id":["10.1177\/10926429261461807"],"URL":"https:\/\/doi.org\/10.1177\/10926429261461807","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,18]]}}}