探讨手术护理路径在腹腔镜经腹腹膜前疝修补术（TAPP）围手术期中的应用。

回顾性分析2016年3月至2017年8月，清华大学附属北京市垂杨柳医院完成的TAPP手术患者51例，总结围手术期应用手术护理路径配合措施及临床效果。

本组患者单侧手术时间平均（97±28）min，术后8 h拔除尿管、下地活动，住院时间3～5 d，平均（3.3±0.6）d。术后出现阴囊血清肿1例，未出现阴囊血肿、尿潴留、慢性疼痛等并发症。

手术护理路径应用于TAPP手术围手术期，能够配合手术顺利完成，使医护、护患关系沟通成为一个良性循环，提高了手术配合默契，保证手术顺利开展及患者顺利康复。

To investigate the application of surgical nursing pathway in perioperative period of laparoscopic transabdominal preperitoneal hernia repair (TAPP).

From March 2016 to August 2017, 51 patients underwent TAPP at the ChuiYangLiu Hospital Affiliated to Tsinghua University were retrospectively analyzed. The surgical measures and clinical effects of perioperative nursing pathway were summarized.

The mean operating time of unilateral surgery was (97±28)min. The catheter was removed at 8 h after operation. The duration of hospital stay was 3-5 days with an average of (3.3±0.6)d. A case of postoperative scrotal seroma occurred, and there was no scrotal hematoma, urinary retention, chronic pain and other complications.

The surgical nursing pathways should be applied in the perioperative period of TAPP operation, which can be successfully cooperated with the operation. The communication between doctor-nurse and nurse-patient has become a virtuous circle, which enhances the understanding of the operation and ensures smooth operation and successful rehabilitation of the patients.