探讨水分离双钩套扎针辅助单孔腹腔镜腹股沟疝腹膜外结扎术在小儿腹股沟斜疝中的应用。

选取2016年11月至2018年2月，三亚市人民医院收治的51例腹股沟斜疝患儿，均采用水分离双钩套扎针辅助单孔腹腔镜腹股沟疝腹膜外结扎术进行治疗，记录手术情况、手术时间、术中出血量、术后住院时间及并发症发生情况。

51例患儿均顺利完成手术，无中转开放手术者。单侧疝手术时间（14.9±2.2）min，双侧疝手术时间（19.9±2.6）min，术中出血量（6.2±1.1）ml，术后住院时间（3.1±0.7）d。随访12个月，2例患儿出现阴囊肿胀，无输精管/睾丸血管损伤、无皮下积液、肠梗阻、肠粘连及切口感染发生，均未发生睾丸萎缩或医源性隐睾并发症，无复发病例。

应用水分离双钩套扎针辅助单孔腹腔镜腹股沟疝腹膜外结扎术对腹股沟斜疝患儿进行治疗，其操作简单，并发症少，是治疗小儿腹股沟斜疝值得选择的一种术式。

To investigate the application of water separation double hook ligation needle assisted single port laparoscopic inguinal hernia extraperitoneal ligation in the treatment of infantile inguinal hernia.

From November 2016 to February 2018, 51 children with inguinal hernia who were admitted to Sanya People's Hospitalwere treated with water separation double hook ligation needle assisted single hole laparoscopic inguinal hernia extraperitoneal ligation. The operation situation, operation time, intraoperative blood loss, postoperative hospital stay and complicationswere recorded.

All the 51 children successfully completed the operation, and no conversion to open surgery was performed. Unilateral hernia operation time was (14.9±2.2) minutes, bilateral hernias operation time was (19.9±2.6) minutes, intraoperative blood loss was (6.2±1.1) ml, and postoperative hospital stay was (3.1±0.7) days. After follow-up period of 12 months, there were 2 cases of scrotal swelling, no vas deferens/testicular vascular injury, no subcutaneous fluid, intestinal obstruction, intestinal adhesions and wound infection occurred, no testicular atrophy or iatrogenic cryptorchidism complications, and no recurrence cases.

Water separation double hook ligation needle assisted single port laparoscopic inguinal hernia extraperitoneal ligationin the treatment of infantile inguinal hernia is simple, less complications.Itis an operation worthy of selecting to treat inguinal hernia in children.