增强视野全腹膜外修补术（e-TEP）由完全腹膜外修补术（TEP）演变而来，通过腔镜观察孔布局的调整，优化手术视野，以适应不同部位疝的治疗。e-TEP最初用于复杂性腹股沟疝，后来用于原发性腹壁疝、中小切口疝，逐渐尝试向大切口疝拓展。机器人手术系统、单孔手术、组织结构分离技术等的融入使这种愿望成为可能。目前，e-TEP技术正在探索和完善中，其短中期疗效在总体上与其他术式相似，尚缺乏长期随访结果，外科医生可根据经验选择性开展。e-TEP秉承"微创和层面"优先理念，具有理论上的优势，但技术上具有挑战性。手术空间小、学习曲线长是影响e-TEP开展的主要因素，避免腹壁过度分离、预防新型并发症发生等焦点问题也备受关注。随着微创平台的进展，包括e-TEP在内的各类微创修补技术都会有所获益，最终实现精准的个体化治疗。

The enhanced-view totally extraperitoneal (e-TEP) approach evolved from the classical totally extraperitoneal (TEP) technique. By refining the optic trocar placement, endoscopic visualization was optimized to accommodate hernia repair at various sites. Initially applied to complex inguinal hernias, e-TEP was subsequently adopted for primary ventral hernias and small- to medium-sized incisional hernias, with ongoing attempts to extend its use to large incisional hernias. The incorporation of robotic surgical systems, single-port platforms, and the component separation technique has further facilitated this expansion. At present, e-TEP remains in a phase of active exploration and refinement. Its short- and mid-term outcomes are generally comparable to those of alternative procedures, although long-term follow-up data are still unavailable. Surgeons may therefore adopt the technique selectively based on their expertise. Guided by the principles of minimally invasive surgery and plane-oriented dissection, e-TEP offers theoretical advantages but presents notable technical challenges. Limited operative space and a prolonged learning curve remain key barriers to wider implementation of e-TEP, while key issues such as avoiding excessive abdominal wall dissection and preventing emerging procedure-specific complications continue to draw attention. With advances in minimally invasive platforms, e-TEP—alongside other minimally invasive repair techniques—is expected to benefit and ultimately contribute to more precise, individualized hernia management.