Abstract: 【Abstract】〓Objective〓To explore the effect of a modified single port laparoscopic surgery on treatment of high ligation of hernial sac in children with inguinal hernia..Methods〓Retrospective review was conducted to 100 children underwent laparoscopic high of hernial sac transfixion between June 2011and June 2014..Of 100 cases, 95 were unilateral indirect inguinal hernia, 5 bilateral indirect inguinal hernia, Amodified surgical procedure was performed in operating. Results〓All cases were operated successfully. The mean operation time was 10-35 minutes in unilateral hernia and 25-45 minutes in bilateral hernia. The average hospital stay after operation was 1-2 days. There were no complication and no recurrence..Conclusion〓The modified single port laparoscopy is safe and effective for children with good cosmetic results and few complications, which can be handled the other side of contralateral inguinal hernia.

Key words: Single port, Laparoscopy, Inguinal hernia, Children

摘要： 【摘要】〓目的〓总结改良单孔法微型腹腔镜小儿腹股沟斜疝疝囊高位结扎术的手术方法、疗效及优缺点。方法〓回顾性分析2011年6月至2014年6月100例腹股沟斜疝患儿行改良单孔法腹腔镜疝囊高位结扎术的临床资料。其中单侧斜疝95例,双侧斜疝5例。手术特点主要通过一个改良的腹壁穿刺针进行穿刺、疝囊高位结扎,完成手术。结果〓100例手术均获成功,平均手术时间单侧疝10~35 min,双侧疝25~45 min,术后平均1~2 d出院,无明显并发症和复发病例。结论〓改良单孔法腹腔镜小儿腹股沟斜疝疝囊高位结扎术安全,有效,并发症少,可同期处理对侧隐匿性腹股沟斜疝。

关键词: 单孔, 腹腔镜, 腹股沟疝, 小儿