关键词: 腹股沟疝, 老年, 疝修补术, 腹腔镜

Abstract: ［Abstract］ Objective To observe the clinical effect of extraperitoneal laparoscopic herniorrhaphy on unilateral inguinal hernia in elderly patients. Methods 120 cases of unilateral inguinal hernia in Peking University Shenzhen Hospital from October 2015 to July 2017 were randomized into the control group and the observation group （60 cases each）. The control group was treated with tension free inguinal hernia repair under local anesthesia （open tension?free hernia repair under local anesthesia， OTFHULA）， and the observation group was treated with extraperitoneal laparoscopic herniorrhaphy on inguinal hernia repair （totally extraperitoneal prosthesis， TEP）. The operation time， intraoperative bleeding volume， total hospitalization cost， postoperative recovery time，the first day postoperative pain score （numeric rating scale， NRS）， the incidence of postoperative complications and postoperatively long term complications were compared in the patients with different surgical methods. Results The observation group of the operation time， intraoperative bleeding volume and the total hospitalization cost in the observation group were larger than those in the control group， and the observation group after the operation，postoperative NRS was less than the control group （P<0.05）. There was no significant difference in the first day the incidence of postoperative complications and postoperatively long term complications in the observa tion group. Conclusion For the elderly patients with unilateral inguinal hernia， group OPFHULA and group TEP have their own advantages and disadvantages， which can be rationally selected according to the actual situation of the patients and the skilled degree of the operation.

Key words: inguinal hernia, old age, hernia repair, laparoscopy