青少年腹股沟疝腹腔镜手术方式有多种，主要可归纳为5类：（1）腹腔镜经皮腹膜外疝囊高位结扎术。该法将结扎线结埋于皮下组织内，按腹壁穿刺置线与出线操作程序可分为一步法和二步法两种技术。（2）腹腔镜疝囊荷包缝合关闭术。该法将结扎线结留置于腹腔内，可分为单操作孔缝合腹内与体外联合打结法和双操作孔缝合完全腹内打结法两种技术。（3）疝囊颈高位离断内环缩窄缝合术。切开内环口外侧缘腹膜，剥离或切除疝囊后，将内环口两侧近端腹膜缝合关闭。（4）利用脐内侧襞覆盖加强内环口。完成疝囊高位结扎术后，对于10~14岁、接近或达到中华Ⅱ型疝标准者，可将脐内侧襞直接缝合覆盖加强内环口；对14~19岁原发性腹股沟疝以及中华Ⅳ型疝，可将脐内侧襞制作成腹膜瓣片覆盖加强内环口。（5）利用生物补片施行经腹腔腹膜前疝修补术或完全腹膜外疝修补术。腹腔镜治疗青少年腹股沟疝极具前景，但目前尚未获得广泛认可。

There are several technical options of laparoscopic inguinal hernia repair in adolescent patients, including five major approaches: (1) Laparoscopic percutaneous extraperitoneal closure, with the ligature knot buried in the subcutaneous tissue. According to the operating procedure, it can be divided into two techniques: one-step method and two-step method. (2) Laparoscopic purse-string suture of the hernia sac. This method leaves the ligature knot in the abdominal cavity, which can be divided into two techniques: single-port approach of intraabdominal suture combined with external knotting, and two-port approach of totally intracorporeal knotting. (3) Modified laparoscopic flip-flap hernioplasty. During the approach, the anteriolateral border of the hernia sac is divided, and the sac is peeled and removed appropriately. Then the lateral and medial edge of the internal ring are sewn together. (4) Medical umbilical ligament covering the internal ring as reinforcement of laparoscopic high ligation herniorrhaphy. For younger adolescents (10-14 years of age) meet the Chinese Type Ⅱ criteria, the medial umbilical ligament can be sewn directly to the lateral edge to cover and reinforce the internal ring. For elder adolescents (14-19 years of age) and those meet the Chinese Type Ⅳ criteria, a peritoneal flap is made using the medial umbilical ligament to cover and reinforce the internal ring. (5) Transabdominal preperitoneal or totally extraperitoneal laparoscopic techniques using biological mesh. Laparoscopic treatment is an option of adolescent inguinal hernia repair with attractive future, but without widespread acceptance.