关键词: 微创, 腹腔镜, 腹股沟疝, 腹壁疝

Abstract:

New understanding of minimally invasive surgery in the field of hernia and abdominal surgery        TANG Jian-xiong. Department of General Surgery，Huadong Hospital Affiliated to Fudan University，Shanghai 200040，China
Abstract    Generally，surgeons regard laparoscopic surgery as a minimally invasive surgery. But the opinion has been facing challenges in the field of hernia and abdominal surgery. The argument has a distinct difference in the treatment of inguinal hernia and abdominal incisional and ventral hernia. Laparoscopic inguinal hernia (LIHR) is a kind of hernia repair surgery，not a minimally invasive surgery. LIHR requires general anesthesia，more tissue segregation，more complicated operation，longer operation time, and had more serious complications. On the contrary，open hernia repair can be performed in the situation of local anesthesia，less segregation，simpler operation，shorter time，and has fewer serious complications. It is true that patients after LIHR can go back to work earlier，and has less chronic pain and lower infection rate. But whether LIHR is a kind of minimally invasive surgery is still in discussion among surgeons. Laparoscopic incisional and ventral hernia repair (LIVH) has been demonstrated safe and effective. LIVH takes shorter operation time and leads to minimal invasion. Furthermore，patients after LIVH has less pain，quick recovery，shorter operation and hospital stay time, lower recurrence and infection rate，and fewer serious complications. Patients can also go back work earlier and have better lives quality after operation. LIVH should be the first choice of abdominal incisional and ventral hernia. All in all，laparoscopic surgery doesn’t have obvious advantages in inguinal hernia surgery，but it has obvious advantages in abdominal incisional and ventral hernia surgery.

Key words: minimal invasive, laparoscope, inguinal hernia, abdominal hernia