探索经弓状线入路单孔腹腔镜完全腹膜外疝修补方法的临床应用。

回顾性分析2020年3月至2024年2月蕲春县人民医院收治的行单孔腹腔镜完全腹膜外疝修补术的90例成人单侧或双侧腹股沟疝患者的临床资料，其中经弓状线入路52例（经弓状线入路组），经脐部入路38例（经脐部入路组）。比较2组入路的手术时长，筷子效应时长，出血量，疼痛评分，卧床时间及术中术后并发症等。

所有患者均顺利完成手术，无切口感染及复发病例。2组患者术中出血量、术后卧床时间、术后血清肿等术后并发症比较，差异无统计学意义（P>0.05）；2组患者手术总时长、筷子效应（器械相互干扰）时长，手术过程中腹膜破损的病例数、术后疼痛评分比较，差异有统计学意义（P<0.05）。

经弓状线入路单孔腹腔镜完全腹膜外疝修补术，较脐部入路更为方便，降低了手术难度、该手术入路安全可行。

To investigate the application of arcuate line approach in single incision laparoscopic totally extraperitoneal inguinal hernia repair (SIL-TEP).

A retrospective analysis was conducted on the clinical data of 90 adult patients with unilateral or bilateral inguinal hernias who underwent SIL-TEP at Qichun Peoples' Hospital from March 2020 to February 2024. Among them, 52 patients underwent SIL-TEP by arcuate line approach (arcuate line approach group) and 38 patients underwent SIL-TEP by umbilicus approach (umbilicus approach group). Compare the surgical duration, chopstick effect duration, bleeding volume, pain score, bed rest time, and intraoperative and postoperative complications between the two groups.

All patients completed the surgery successfully, and there was no case of incision infection or recurrence. There was no statistical difference between the two groups in complications such as intraoperative blood loss, postoperative bed rest time, postoperative serum swelling (P>0.05); There were statistically significant differences between the two groups in terms of surgical time, the duration of chopstick effect (interference between instruments), the number of cases of peritoneal damage during surgery, and postoperative pain scores (P<0.05).

The SIL-TEP hernia repair surgery via the arcuate line approach is more convenient than the umbilicus approach, reducing surgical difficulty and making the operation approach safe and feasible.