中国实用外科杂志2026，Vol.46Issue(4)：427-429,3.DOI:10.19538/j.cjps.issn1005-2208.2026.04.06
单孔腹腔镜腹股沟疝修补术要点解析与技巧优化
Key points and techniques of single incision laparoscopic inguinal hernia repair
摘要
Abstract
Single incision laparoscopic transabdominal preperitoneal(TAPP)repair for inguinal hernia has become a focus in minimally invasive hernia surgery due to its scar-free cosmetic advantage.However,the inherent axial vision in single incision laparoscopy leads to operative difficulties such as the"chopstick effect"and visual compression,which constitute the bottleneck for the popularization of this technique.It is recommended to adopt a single-incision trocar placement via the transumbilical"hare-lip"incision combined with the umbilical fascia plane.By adopting the strategy of"replacing lateral distance with the anteroposterior movement of bilateral instruments"during the operation,combined with adjustments of the angle and position of the laparoscopic lens,the operational difficulties caused by the"chopstick effect"are resolved.The Cartesian coordinate system can be adopted to clarify the separated angular relationship between the lens and the instruments(i.e.,the"unipolar operating view").The core technique of one-handed peritoneal suturing is precise control of the needle,ensuring that it always remains engaged in the peritoneum without leaving the field of view,thereby allowing the coordinated actions of grasping and releasing to be performed smoothly for efficient suture closure.关键词
单孔腹腔镜手术/腹股沟疝/经腹腹膜前疝修补术/手术技巧Key words
single-incision laparoscopic surgery(SILS)/in-guinal hernia/transabdominal preperitoneal repair(TAPP)/sur-gical techniques分类
医药卫生引用本文复制引用
陈双,李英儒..单孔腹腔镜腹股沟疝修补术要点解析与技巧优化[J].中国实用外科杂志,2026,46(4):427-429,3.基金项目
National Key Clinical Discipline(No.2012649) （No.2012649）
China Postdoctoral Science Foundation(No.2024M763787) （No.2024M763787）
National Natural Science Foundation of China(NSFC)Young Scientists Fund Project(Category C)(No.82500609) 国家临床重点专科项目(No.2012649) （NSFC）
中国博士后科学基金面上资助项目(No.2024M763787) （No.2024M763787）
国家自然科学基金青年科学基金项目(C类)(No.82500609) （C类）
