探讨在高海拔地区（>3 500 m）行腹腔镜下小儿腹股沟斜疝高位结扎术的安全性。

收集2014年3月至2016年12月，拉萨市人民医院行腹腔镜下高位结扎术102例腹股沟斜疝患儿的临床资料，其中包括三孔法-双孔法-单孔法，且均在气腹下进行，得到了超高位的结扎。

102例患儿手术均获得成功，术前诊断为单侧疝90例、双侧疝12例，术中发现隐匿疝26例（29%），平均手术时间单侧25 min，双侧35 min，所有患儿术中生命体征平稳，未发生心率及呼吸等异常情况，手术后能够正常苏醒。术后95%患儿第1天即出院，其余于第2天出院（术后出现咳嗽等情况）。术后随访3～12个月，其中5例术后未能联系，无复发情况。

高海拔地区小儿行腹腔镜下腹股沟斜疝高位结扎术是安全可行的，患儿手术创伤小、麻醉时间短、术后恢复快、复发率低，同时手术技术要求低、学习曲线短，我们已经在我区逐步推广。

To investigate the safety of laparoscopic high ligation of indirect inguinal hernia in children at high altitude (>3 500 m).

From March 2014 to December 2016, 102 cases of pediatric indirect inguinal hernia underwent laparoscopic high ligation in Lhasa People's Hospital, including three-pore method, double-pore method, single-pore method. All operations were performed under pneumoperitoneum, and super-high ligation was obtained.

102 cases were successfully operated. 90 cases of unilateral hernia and 12 cases of bilateral hernia were diagnosed before operation. 26 cases (29%) of concealed hernia were found during operation. The average operation time was 25 minutes on unilateral surgery and 35 minutes on bilateral surgery. All the children had stable vital signs and no abnormalities of heart rate and respiration. 95% children were discharged at first day, and the rest were discharged at second day (due to cough after operation). The patients were followed up for 3 to 12 months, 5 of them failed to contact after operation, and no recurrence occurred.

Laparoscopic high ligation of indirect inguinal hernia in children at high altitude is safe and feasible. It has been gradually popularized in our district because of its small trauma, short anesthesia time, rapid recovery and low recurrence rate.