关键词: 腹腔镜, 腹股沟疝, 解剖

Abstract: Objective To investigate the clinical efficacy, safety and feasibility of simplified inguinal area anatomy in endoscopic inguinal hernia repair. Methods The clinical data of 80 patients with inguinal hernia in the Sixth Affiliated Hospital of Sun Yat-sen University from September 2018 to March 2019 were retrospectively analyzed. There were 59 males and 21 females, aged from 18 to 80 （53.8±21.5） years old. There were 21 on the left side, 48 on the right side, and 11 on both sides. All patients underwent endoscopic transabdominal extraperitoneal inguinal hernia repair, and the operative time, intraoperative blood loss, postoperative hospital stay and postoperative complications were observed. Results All the 80 patients completed the operation successfully, and none of them was converted to open surgery. The operative time of unilateral hernia patients was 27.8~51.4 （43.2± 5.6） min, and that of bilateral hernia patients was 55.6~103.3 （73.8± 10.4） min, the intraoperative blood loss was 2~6 （3.6± 1.1） mL, and the hospital stay was 2~5 （3.1± 1.8） days. Postoperative seroma occurred in 2 patients, and groin pain occurred in 2 patients on the first day after operation, which could be relieved after corresponding treatment. Seventy-four patients were followed up from September 1, 2018 to December 31, 2019, for an average of 9 months. None of the patients recurred during the follow-up. Conclusion The simplified inguinal region anatomy is simple and easy to understand, can effectively shorten the learning curve of TAPP surgery, and it is conducive to the standardization of surgery, suitable for popularization and application.

Key words: laparoscopy, inguinal hernia, anatomy