分析行腹腔镜Sugarbaker术治疗造口旁疝的手术操作关键步骤及技术细节优化，探讨术后并发症的发生情况，以期进一步规范腹腔镜Sugarbaker术式关键细节，降低术后并发症发生率。

采用单中心回顾性队列研究，分析2015年1月至2025年12月在中国科学技术大学附属第一医院疝及肥胖外科行腹腔镜Sugarbaker术修补造口旁疝的161例患者的临床资料。记录有无中转开放、术后并发症、手术时间、疝环缺损等信息并完成随访。

161例手术均顺利完成，2例中转开放手术，无围手术期死亡病例。中位手术时间135（110，180）min，中位疝环缺损面积19.6（12.6，28.3）cm²。中位随访时间24（12，36）个月，症状学复发率为5.0%（8/161），影像学复发率为5.6%（9/161）；采用Kaplan-Meier生存分析，结果显示：基于十年研究数据（最长随访96个月），术后8年累积症状学复发率为7.4%，8年累积影像学复发率为8.1%。其他并发症总发生率为7.5%（12/161），包括肠梗阻3例，造口皮肤黏膜分离3例，造口感染2例，疝囊腔肠管迟发瘘、疝囊积液、复发再次手术、切口愈合不良各1例。

关键技术优化对于腹腔镜Sugarbaker术对造口旁疝修补具有良好的疗效，可有效控制术后并发症发生率。

To analyze the key procedural steps and technical refinements of laparoscopic Sugarbaker repair for parastomal hernia, and to investigate the incidence of postoperative complications, aiming to further standardize the critical details of the laparoscopic Sugarbaker technique and reduce postoperative complication rates.

A single-center retrospective cohort study was conducted to analyze the clinical data of 161 patients who underwent laparoscopic Sugarbaker repair for parastomal hernia at the Department of Hernia and Obesity Surgery, The First Affiliated Hospital of University of Science and Technology of China, from January 2015 to December 2025. Data such as conversion to open surgery, postoperative complications, operative time, hernia defect size were recorded, and follow-up was completed.

All 161 surgeries were successfully completed, with 2 conversions to open surgery and no perioperative deaths. The median operative time was 135 (110, 180) minutes and the median hernia defect area was 19.6 (12.6, 28.3) cm². The median follow-up time was 24 (12, 36) months. The symptomatic recurrence rate was 5.0% (8/161), and the radiological recurrence rate was 5.6% (9/161). Kaplan-Meier survival analysis showed that, based on 10-year study data (maximum follow-up of 96 months), the 8-year cumulative symptomatic recurrence rate was 7.4% and the 8-year cumulative radiological recurrence rate was 8.1%. The overall incidence of other complications was 7.5% (12/161), including intestinal obstruction (n=3), stoma mucocutaneous separation (n=3), stoma infection (n=2), and one case each of delayed intestinal fistula from the hernia sac, hernia sac effusion, reoperation for recurrence, and poor wound healing.

Optimized key techniques in laparoscopic Sugarbaker repair demonstrate favorable outcomes for parastomal hernia, and can effectively control the incidence of postoperative complications.