总结腹腔镜下Sugarbaker修补术在造口旁疝治疗中的手术细节优化策略，并探讨该改良术式的围手术期情况及短期随访结果。

本研究为单中心回顾性病例系列研究。选取2024年1月至2025年12月在山东第一医科大学附属省立医院胃肠外科收治并接受完全腹腔镜下改良Sugarbaker修补术的24例造口旁疝患者的临床资料。收集患者一般情况、围手术期相关指标（手术时间、术中出血量、术后排气及排便时间、住院时间等）、造口排便功能评分、术后并发症及随访资料，评估手术安全性、术后疗效及疝复发情况。

24例患者均成功完成改良术式，无中转开腹。患者平均年龄为（69.08±8.31）岁，男、女各12例。围手术期指标[M（Q₁，Q₃）]：手术时间118（97.75，127.25）min，术中出血量20（10.0，32.5）ml，术后排气时间1（1，2）d，术后排便时间3（2，3）d，术后住院时间5（4，5）d。术后未见肠穿孔、肠梗阻、网片感染及造口缺血坏死等严重并发症。术后造口排便功能评分显示大多数患者排便意识与控便能力、感觉能力总体处于较好水平。随访3~24个月，中位随访时间13个月。所有患者均未出现造口旁疝复发，多数患者腹壁外观、造口舒适度及活动能力明显改善。

对腹腔镜下Sugarbaker修补术的手术细节进行优化后，用于治疗造口旁疝安全可行。患者围手术期恢复较快，短期随访未见复发。但本研究为单中心、小样本回顾性研究，随访时间有限，上述结果仍需进一步验证。

To summarize the optimization strategies for the surgical details of laparoscopic Sugarbaker repair in the treatment of parastomal hernia, and to investigate the perioperative outcomes and short-term follow-up results of the modified technique.

This study is a single-center retrospective case series study. We selected 24 patients with parastomal hernia who were treated with totally laparoscopic modified Sugarbaker repair in the Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, from January 2024 to December 2025. Clinical data were collected, including baseline characteristics, perioperative parameters (operative time, intraoperative blood loss, time to first flatus and defecation, length of postoperative hospital stay, etc.), stoma defecation function scores, postoperative complications, and follow-up outcomes, in order to assess surgical safety, postoperative efficacy, and hernia recurrence.

All 24 patients successfully completed modified repair without conversion to open surgery. The mean age was (69.08±8.31) years, with 12 males and 12 females. Perioperative indicators were expressed as median (interquartile range, Q₁, Q₃): operative time 118 (97.75, 127.25) minutes, intraoperative blood loss 20 (10.0, 32.5) ml, time to first flatus 1 (1, 2) days, time to first defecation 3 (2, 3) days, and postoperative hospital stay 5 (4, 5) days. No severe postoperative complications such as bowel perforation, intestinal obstruction, mesh infection, or stomal ischemia and necrosis were observed. Postoperative stoma defecation function scores indicated that most patients had generally favorable outcomes in defecation awareness, continence, and sensory function. During a follow-up of 3-24 months (median, 13 months), no parastomal hernia recurrence was detected. In addition, most patients showed significant improvement in abdominal wall appearance, stoma comfort, and physical activity.

With optimization of key surgical details, laparoscopic Sugarbaker repair for parastomal hernia appears safe and feasible, with rapid postoperative recovery and no recurrence observed in the short-term follow-up. However, this was a single-center retrospective study with a small sample size and limited follow-up duration; further studies are needed to validate these findings.