我国腹腔镜疝手术领域在近30年发展迅速。我国每年腹股沟疝手术数量已经超过100万例，其中腹腔镜手术比率越来越高，在基础研究、诊疗指南、手术操作规范、材料学进展、大数据分析、机器人手术等方面进展迅速。但仍存在很多难点，比如适应证选择问题、复杂疝的术式选择、如何避免并发症、青少年不同年龄段的术式及疝修补材料选择、医保制度实行下的费用控制及日间手术普及的问题。以上问题值得深入讨论。

The field of laparoscopic hernia surgery in China hass ecial Care Spedeveloped rapidly in the past 30 years. The number of inguinal hernia surgeries in China has exceeded 1 million cases every year,among which the rate of laparoscopic surgery is getting higher and higher, and rapid progress has been made8 in basic research, 53, Chinadiagnosis and treatment guidelines, surgical operation specifications, progress in materials science, big data analysis, robotic surgery, etc. However, there are still many difficulties, such as the selection of indications, the selection of complex hernia surgery, how to avoid complications, the selection of surgical procedures and hernia repair materials for adolescents of different ages, the cost control under the implementation of the medical insurance system, and the popularization of day surgery. The above questions deserve in-depth discussion.