Objective. To evaluate the safety and reliability of a novel technique of single-port laparoscopic-assisted percutaneous precise closure of the inguinal hernia sac in children. Methods. From September 2016 through September 2019, children with inguinal hernia(s) treated with single-port laparoscopic-assisted percutaneous extraperitoneal closure using a guide wire were enrolled in this study. Operative time, surgical complications, recurrence rate, and cosmetic results were collected. Results. A total of 917 cases with inguinal hernia(s) were collected. Among them, there were 886 (96.61%) boys and 31 girls. Their mean age was years. There were 693 (75.57%) cases with unilateral hernia. There were 224 cases with bilateral hernias or patent processus vaginalis, including 135 (14.72%) cases with an open contralateral ring which was confirmed intraoperatively. Twenty-three (2.51%) needed another port to complete the hernia sac separation. The operation time was  min and  min in bilateral and unilateral ones. Three cases complained of numbness in the thigh region or groin pain which subsided without medication in the 2^nd postoperative month. There was no recurrence, and the incision scars were nearly invisible. Conclusion. Single-port laparoscopic-assisted percutaneous extraperitoneal closure using a guide wire is a safe, less cost, and reliable technique in the treatment of inguinal hernia in children.

中文翻译：

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经脐单孔腹腔镜经皮精确闭合儿童腹股沟疝囊的替代技术：一项为期 3 年的单中心研究

目标。评估单孔腹腔镜辅助经皮精确闭合儿童腹股沟疝囊新技术的安全性和可靠性。方法。从 2016 年 9 月到 2019 年 9 月，本研究招募了使用单孔腹腔镜辅助经皮腹膜外封堵术治疗的腹股沟疝儿童。收集手术时间、手术并发症、复发率和美容效果。结果。共收集腹股沟疝917例。其中，男生886人（96.61%），女生31人。他们的平均年龄是年。单侧疝693例（75.57%）。双侧疝或阴道突未闭224例，其中对侧环开放135例（14.72%），术中确诊。二十三个 (2.51%) 需要另一个端口来完成疝囊分离。手术时间是 分钟和  min 在双边和单边的。三起案件中，不用药消退在2大腿区域或腹股沟疼痛麻木抱怨的^第二术后一个月。没有复发，切口疤痕几乎看不见。结论。使用导丝的单孔腹腔镜辅助经皮腹膜外封堵术是治疗儿童腹股沟疝的一种安全、成本较低且可靠的技术。