腹腔镜疝外科手术在我国快速发展20年，其切口小、恢复快、并发症低等特点受到医患追捧。腹腔镜手术占比也显著增高，不但在腹股沟疝领域，其它如切口疝、造口旁疝、食管裂孔疝等也广泛运用，技术和材料上的进步，单孔技术、机器人技术、微创非腹腔内补片修补术等新技术的运用，使得腹腔镜疝手术疗效持续改善，但仍面临不少问题，如补片相关并发症、全身麻醉创伤、新技术学习曲线相关问题等，制约了腹腔镜疝外科技术的发展。未来腹腔镜技术将成为大部分疝外科手术的首选方式，远程医疗、人工智能将给微创技术更广阔的发展空间。

Laparoscopic hernia surgery has developed rapidly in China for 20 years. Its characteristics of minimal invasive, fast recovery, and low complications have been highly sought after by doctors and patients.The proportion of laparoscopic surgery has also significantly increased, not only in the field of inguinal hernia,but also in other abdominal wall hernias such as incisional hernia, parastomal hernia, and hiatal hernia. The progress in technology and materials, as well as the application of new technologies such as single-incision hernia repair, robotic surgery, and MINIM technique, have led to continuous improvement in the efficacy of laparoscopic hernia surgery. However, there are still many problems, such as mesh related complications,general anesthesia trauma, and new technology learning curve related issues, which restrict the development of laparoscopic hernia surgery. In the future, laparoscopic technology will become the preferred method for most hernia surgeries, and telemedicine and artificial intelligence will provide broader development space for minimally invasive technology.