探讨减孔法腹腔镜完全腹膜外疝修补术（laparoscopic totally extra-peritoneal，TEP）的可行性、安全性及有效性，为进一步减少腹股沟疝修补术的创伤改进手术方法。

收集2015年1月至2017年1月广东省中医院胃肠外科48例单侧腹股沟疝男性患者，均在分型Ⅰ、Ⅱ型（中华外科学会疝和腹壁外科学组）范围内，随机分为2组，每组24例，行TEP手术，术中第1操作口取脐耻骨联合连线上1/3，减孔法直疝不需第2操作口，斜疝取脐耻骨联合连线下1/3穿刺endocloss协助分离斜疝疝囊，三孔法第2操作口取脐耻骨联合连线下1/3。

减孔法组患者手术时间为（33.0±11.2）min，术中出血量为（2.3±1.5）ml，术后8 h疼痛评分为（1.8±0.3）分，其中2例患者术后出现阴囊少量血清肿，均在术后2周自行吸收；三孔法组手术时间为（31.0±12.8）min，术中出血量为（3.1±0.5）ml，术后8 h疼痛评分为（1.9±0.5）分，其中1例患者术后出现阴囊少量血清肿，术后2周自行吸收，所有患者均在术后24 h内出院，随访3个月至2年，未发现复发患者。

减孔法TEP手术效果良好，可作为腹股沟疝修补术的一种选择。

To investigate the feasibility, safety and effectiveness of reduced-port laparoscopic totally extraperitoneal repair (TEP), and to further reduce the rauma of inguinal hernia repair.

A total of 48 male patients with unilateral inguinal hernia in the Department of Gastrointestinal Surgery, Guangdong Provincial Hospital of Traditional Chinese Medicine from January 2015 to January 2017 were enrolled. All of them were type I and II (Chinese Hernia Society), and were divided into 2 groups, three-port TEP and reduced-port TEP, 24 cases in each group.

The operation time of the patients in the redued-port group was (33.0±11.2) minutes, the intraoperative blood loss was (2.3±1.5) ml, and the pain score was (1.8±0.3) scores at 8 hours after surgery. Two of them had postoperative scrotal seroma, which absorbed in 2 weeks after surgery; the operation time of the three-port group was (31.0±12.8) minutes, the intraoperative blood loss was (3.1±0.5) ml, and the pain score was (1.9±0.5) score at 8 hours after surgery. One of the patients had scrotal seroma that absorbed in 2 weeks after surgery. All patients were discharged within 24 hours after surgery. The patients were followed up for 3 months to 2 years, and no recurrence was found.

The reduced-port TEP has a good effect and can be used as an alternative for inguinal hernia repair.