腹腔镜腹股沟区解剖及TAPP技术要点,腹股沟区的解剖,腹壁的结构,Hesselbachs 三角,A triangle region Superolateral border: inferior epigastric artery Medial border: Rectus abdominis muscle and joint outer tendon Inferior border: inguinal ligament,Fruchaud (肌耻孔),上界:弓状下缘 下界:耻骨梳 外界:髂腰肌 内界:腹直肌外缘,重要的骨性标志,腹股沟管 层次结构,腹股沟管 层次结构,腹股沟管 层次结构,腹股沟管 层次结构,腹股沟管 层次结构,腹股沟管 层次结构,The operating surgeon knows little of the posterior wall of the inguinal canal, so well is it hidden from his view.,W.J. Lytle, 1945,Advent of laparoscopic hernia