Repair of abdominoscrotal hydrocele is surgically demanding and may be associated with complications. Herein we describe a surgical technique with laparoscopic assisted approach. A 6-month boy with right hydrocele and left absent testis was surgically treated with scrotal approach using one laparoscopic port. In the presence of abdominoscrotal hydrocele and contralateral absent testis, we opted to correct the hydrocele while minimally mobilizing the solitary testis cord and blood vessels. The patient had minimal drainage—postoperatively, he developed fever and was treated with antibiotics. Abdominoscrotal hydrocele in infancy may simply and successfully be treated via scrotal approach with the assistance of one-port laparoscopy ().