目的　介绍开展腹腔镜治疗小儿斜疝的经验和体会。方法　使用微型腹腔镜配合改进的针形器械缝扎内环口周边腹膜治疗小儿斜疝 15 0 0例。结果　 15 0 0例均经腹腔镜下完成 ,手术时间 5～ 13min ,平均9min ,随访 3个月～ 4年半 ,复发 12例 ,疝囊积液 2例。没有腹部并发症。结论　腹腔镜治疗小斜疝创伤小、恢复快、手术时间短、伤口美观、复发率低 ,值得推广 Objective To introduce the experience and experience of laparoscopic treatment of infantile oblique hernia. Methods 1500 cases of pediatric indirect hernia were treated by mini laparoscopy combined with improved acupuncture needle. Results 150 cases were completed by laparoscopy, operation time 5 ~ 13min, an average of 9min, followed up for 3 months to 4 years and a half, recurrence in 12 cases, 2 cases of hernia sac effusion. No abdominal complications. Conclusion Laparoscopic treatment of small oblique hernia trauma, rapid recovery, short operative time, beautiful wounds, low recurrence rate, it is worth promoting