Abstract: ［Abstract］ With the development of laparoscopic technique and the popularization of minimally invasive idea, laparoscopic herniorrhaphy is becoming increasingly popular. More and more studies have shown that laparoscopic hernia repair is superior to the open method of hernia repair. However, although excellent surgical skill, vast experience, and careful dissection, laparoscopic incisional and ventral hernia repair carries with it the risk of morbidity and mortality. Few studies have focused on one of its most serious complications?an“enterotomy”. When enterotomy occurs during laparoscopic ventral hernia repair, most surgeons lack of associated literatures and guidelines to guide treatment prescriptively. In this paper, the risk factors and treatment of enterotomy during laparoscopic ventral wall hernia repair were analyzed.

Key words: laparoscopic herniorrhaphy, risk factors, enterotomy, treatment

摘要： ［摘要］随着腹腔镜技术的成熟及微创理念的普及，腹腔镜下腹壁疝修补术逐渐流行。越来越多的研究表明，腹腔镜下腹壁疝修补术优于传统的开放疝修补术。但是，就像其他外科手术一样，外科医生的手术精湛、经验丰富和仔细操作很难避免发生严重并发症的风险，术中“肠切开”是其最严重并发症之一。由于当前很少有研究关注，一旦术中遭遇肠切开时，大多数外科医生缺乏相关的文献资料及指南规范的指导治疗。本文结合国外研究分析腹腔镜腹壁疝手术时发生肠切开的风险因素及处理方法。

关键词: 腹腔镜疝修补术, 肠切开, 危险因素, 治疗