腹壁子宫内膜异位症（abdominal wall endometriosis， AWE）是一种少见的特殊部位子宫内膜异位症，多继发于剖宫产术后。 病变初期症状不明显时，以观察随访为主，当病变引起周期性腹壁疼痛等不适症状时，则以手术治疗为主。 传统的经皮切口手术能切除单个、表浅的病灶，但当存在多个病灶，且病灶较大时，传统手术方式具有创面大、易感染、腹壁组织缺损过大、腹壁薄弱等缺点。笔者团队曾报道1 例单孔腹腔镜腹壁子宫内膜异位症病灶切除术，经过不断地探索和改进，本文现报道1 例经原剖宫产切口瘢痕处单孔腹腔镜下切除多病灶腹壁子宫内膜异位症，以期为单孔腹腔镜技术在腹壁子宫内膜异位症的治疗上提供新的手术方式。

Abdominal wall endometriosis （AWE） is a rare form of endometriosis occurring in a specificlocation，primarily seen after cesarean section. In the early stages of the disease， when symptoms are not obvious， a wait-and-see approach with observation is usually adopted. When the lesions cause periodic abdominal wall pain and other discomfort， surgical treatment becomes the main focus. Traditional percutaneous incision surgery can remove single， superficial lesions， but when multiple and larger lesions are present， conventional surgical methods have drawbacks， including larger wound size， higher risk of infection， excessive abdominal wall tissue loss， and abdominal wall weakness. The author's team previously reported a case of single-site laparoscopic resection of abdominal wall endometriosis. Through continuous exploration and improvement， this article reports a case of laparoendoscopic single-site resection of multiple abdominal wall endometriosis lesions at the site of a previous cesarean section scar， aiming to provide a new surgical approach for the treatment of abdominal wall endometriosis using laparoendoscopic single-site techniques.