总结经脐单孔腹腔镜下完全腹膜外腹股沟疝修补术手术技巧。

回顾分析2018年10月至2019年6月，宁波大学医学院附属医院开展的95例经脐单孔腹腔镜全腹膜外腹股沟疝修补术（SILS-TEP）的临床资料，总结手术技巧。

95例SILS-TEP手术，2例中转为常规三孔TAPP手术。单侧手术时间（66.74±10.95）min。术后发生血清肿3例，脐部切口感染2例，无阴囊血肿、慢性疼痛、补片感染和脐部切口疝，随访期间无复发。主要技巧包括：对常规单孔Port进行改良/造和带吸引电钩有助操作；脐下缘弧形切口有利于隐匿瘢痕；左右手交叉操作；疝囊用电钩分离或分离钳接电后分离。

熟练掌握单孔条件下的手术技巧及规范操作的TEP是安全可行的。

To summarize the technique of single incision laparoscopic surgery (SILS) via umbilicus for total extraperitoneal inguinal herniorrhaphy (SILS-TEP).

95 cases clinical data of SILS-TEP which were performed in the Affiliated Hospital of Medical School of Ningbo University from October 2018 to June 2019 were analyzed.

95 cases underwent SILS-TEP and 2 cases were converted to conventional TAPP. The average unilateral hernia operation time was (66.74±10.95) minutes. There were 3 cases of seroma, 2 cases of infection in umbilical incision, no hematoma of scrotum, chronic pain, mesh infection and hernia of umbilical incision, and no recurrence during follow-up. The main techniques included: the improvement/construction of conventional single port and the operation with suction hook; the arc-shaped incision at the lower edge of the umbilicus was conducive to the concealment of scars; the cross operation of left and right hands; the separation of the hernia sac with electric hook or the separation clamp after being electrified.

It is safe and feasible to operate SILS-TEP under the condition of skilled operation and standard operation.