目的 观察L型腔镜拉钩TAPP治疗老年腹股沟疝的疗效。方法 选取2020年3月—2021年3月90例老年腹股沟疝,随机分为观察组和对照组,每组各45例;观察组行L型腔镜拉钩TAPP,对照组行常规腔镜TAPP;对比两组手术效果和术后并发症。结果 观察组手术用时、术中出血量、术后肛门排气时间、术后2 d VAS疼痛评分、住院时间、术后并发症均明显少（低）于对照组（P<0.01）;术后随访6~12个月,两组复发率无差异。结论 L型腔镜拉钩TAPP治疗老年腹股沟疝操作方便、手术时间较短,创伤较少,术后恢复较快,安全性较高,值得推广。

Objective To observe the effect of L-shaped endoscopic retractor TAPP on inguinal hernia in seniors. Methods A total of 90 elderly patients with inguinal hernia from March 2020 to March 2021 were selected and randomly divided into an observation group （n=45） and a control group （n=45）. The observation group received L-shaped endoscopic retractor TAPP, and the control group received conventional endoscopic TAPP. The operative effects and postoperative complications between the two groups were compared. Results Operation time, intraoperative blood loss, postoperative anal exhaust time, VAS pain score 2 days after operation, hospital stay, and the incidence of postoperative complications in the observation group were significantly lower than those in the control group （P<0.01）; there was no significant difference in recurrence rate at postoperative 6-12 months between the two groups. Conclusion TAPP with L-shaped endoscopic retractor in the treatment of senile inguinal hernia has the advantages of convenient operation, short operation time, less surgical trauma, quick postoperative recovery, and safety, so it is worthy of clinical application.