单孔腹腔镜技术经过多年的发展已经成为妇科手术领域的常用术式，其创伤小、恢复快、美容效果佳等特点，深得患者喜爱；其独特的入路方式在卵巢巨大肿瘤剥除、子宫大肌瘤剔除等术式里展现出绝对优势，也颇受术者青睐。随着单孔腹腔镜技术在临床的广泛应用，各种新的手术理念、手术模式层出不穷。针对腹壁有陈旧性手术瘢痕的患者，为了进一步践行微无创的手术理念，本文提出了经腹壁瘢痕入路的单孔腹腔镜妇科手术理念，并对于该术式的入路构建与重建、缺陷与不足以及临床应用等方面进行概述。

After years of development, single-port laparoscopic surgery has become a routine approach in gynecological procedures. Its advantages-minimal invasiveness, rapid recovery, and excellent cosmetic outcomes-have made it highly favored by patients. The unique access approach demonstrates absolute superiority in procedures such as large ovarian tumor enucleation and massive uterine myomectomy, earning strong preference from surgeons. With the widespread clinical application of single-port laparoscopic techniques, novel surgical concepts and approaches continue to emerge. To further advance the concept of minimally invasive and scarless surgery for patients with preexisting abdominal scars, this article proposes a transabdominal scar approach for single-port laparoscopic gynecological surgery. Additionally, it provides an overview of the access establishment and reconstruction, limitations, and clinical applications of this technique.