”Nurse, the doctor said I am recovering very well, and I feel good about myself now, so can I be discharged tomorrow?” the young man said excitedly less than 24 hours after the operation. On the 24th, the Department of Hernia and Abdominal Wall Surgery of the Affiliated Hospital of Ningbo University Medical College admitted a young patient with an umbilical hernia with intussusception, a real “heavyweight” with a body mass index of BMI=32kg/m2 (normal BMI value is 18-24). 18-24). After various examinations and evaluations, the patient underwent “laparoscopic umbilical hernia repair + umbilical lipoma resection” on the 25th, and the operation went smoothly with a good recovery. This young man was only 29 years old, but his stomach was covered with a thick “swimming ring”. 1 week ago, he found a mass protruding from his umbilicus, about the size of a quail egg. He was worried that the surgical scar would affect his appearance, and was recommended by his teacher at Ningbo University to our director Zhang Yizhong. Therefore, the young man rushed from Zhuji City to the clinic of Director Zhang Yizhong of the Hernia Surgery Department of Ningda Hospital to seek minimally invasive surgery to solve the problem. After the specialist physical examination, the young man had a 2.5cm*2.5cm round mass protruding from the umbilicus, and after communication with the patient, Director Zhang agreed to schedule the surgery. A single-port laparoscopic umbilical hernia repair surgery was performed electively. On the 25th, the patient was admitted to the operating room, and after successful anesthesia, the attending surgeon chose a small supraumbilical incision of about 2 cm in length, laparoscopically separated the umbilical hernia pseudohernia sac through the complete extraperitoneal space, and then retracted the herniated omentum into the abdominal cavity, meanwhile, a fatty tumor was detected under the umbilical skin, and another 0.5 cm skin incision was made through the umbilicus to remove the fatty tumor, followed by a small 0.5 cm incision with crochet sutures to close the umbilical defect The whole operation went smoothly and the patient’s vital signs were stable after the operation, and he was able to walk slowly on the ground on the same day after returning to the ward. It is understood that lipoma is the most common benign tumor on the body surface, which can occur in any structure with adipose tissue, mostly seen in obese patients, and the treatment is mainly surgical resection. In adults, umbilical hernia is less common, and the contents of the abdominal cavity tend to protrude outward from the weak area of the umbilicus to form an umbilical hernia, which is mainly caused by pregnancy, chronic cough and fluid in the abdominal cavity. The main treatment is also based on surgery. The effect of minimally invasive surgery is perfectly achieved through single-port lumpectomy. Deputy Director Zhang Yizhong of the Department of Hernia and Abdominal Wall Surgery of Ningda Hospital focuses on single-port laparoscopic total extraperitoneal hernia repair (abbreviated as: single-port TEP surgery), and after continuous exploration and research, he has mastered the surgical technique and published relevant papers, and now the popularization and application of this procedure is at the leading level in China.