关键词: 小儿, 腹腔镜 , 鞘膜突未闭

Abstract: 【Abstract】 Objective To discuss the clinical value of trans?umbilical single port laparoscopic surgery in the treatment for indirect inguinal hernia and hydrocele in children. Methods Thirty?two cases of children with indirect inguinal hernia and hydrocele of our hospital between Jan. 2010 and June 2015 were enrolled in this study. They were all treated by high ligation of patent processus vaginalis under laparoscope with knitting needle. To analyze the operation time, blood loss, postoperative complications and recurrence rate for all the children. Results All surgery was successful without any serious complications. Operation time was 6.5 to 22.5 min，mean time was 13.2 min. Bleeding volume during the operation was 0.5 to 5 mL，mean volume was 1.2 mL. 25 patients were followed?up 6 to 36 months，mean visit time was 21.6 months. There were no complications and recurrence in this study. Conclusion Laparoscopic high sac ligation for pediatric indirect inguinal hernia and hydrocele by trans?umbilical single?port methods is safe，effective，convenient，micro?invasive，which is worth of being generalized in primary hospitals.

Key words: children, patent processus vaginalis, endoscopic