目的 探讨免气囊分离无钉合完全腹膜外腔镜腹股沟疝修补术（TEP）的效果。方法 2006年8月至2008年8月福建医科大学附属第一医院微创外科对41例腹股沟疝病人行TEP。用镜头替代气囊分离器分离腹膜前间隙，用巴德3D补片无钉合固定。 结果 41例均在腔镜下顺利完成手术。手术时间 28～120 min, 平均（46±23.6）min, 发生腹股沟区血清肿3例，未发生其他并发症。随访3 ~24个月，无腹股沟疝复发。结论 免气囊分离无钉合TEP手术经济、安全可行, 具有创伤小、恢复快、疗效可靠、并发症少等优点。

Totally extraperitoneal endoscopic inguinal hernia repair using an unfixed mesh without a dissection balloon : a report of 41 cases WENG Shan-geng , LIU Zhao-qi , LIN Chun-zhong ,et al. Department of Minimally invasive surgery , the First Affiliated Hospital of Fujian Medical University, Fuzhou 350000, China Corrsponding author：WENG Shan-geng , E-mail：shangeng@sina.com Abstract Objective To investigate the effect and the feasibility of totally extraperitoneal (TEP) endoscopic inguinal hernia repair using an unfixed mesh without a dissection balloon. Methods A total of 41 cases of reducible inguinal hernia underwent TEP dissected with the endoscope instead of a dissection balloon using a BARD 3D mesh without fixation from August 2006 to August 2008. Results The operation was successfully accomplished under the endoscopy in all the 41 cases. The operation time was 28-120 min ( 46±23.6 )min. After the operation, seroma occurred in 3 cases, and no other complications were found. The patients were followed up for 3-24 months, and no recurrence occurred. Conclusion It is feasible and safe to use an unfixed mesh in the TEP endoscopic inguinal hernia repair with few complications,soon recovery and confirmed efficacy without a dissection balloon.