原发性腹壁肿瘤约占所有软组织肿瘤的10%，根据其生物学行为可分为良性、恶性、交界性三种。不同类型的腹壁肿瘤在临床表现、病理特征和预后上存在显著差异。术前多学科团队的综合评估，包括病理学和影像学检查，对于制定个体化治疗方案至关重要。近年来，腹腔镜手术在腹壁肿瘤的切除和重建方面展现出诸多优势，尤其适用于深在和内生性肿瘤。相比传统开放手术，腹腔镜手术有效减少组织损伤，提高肿瘤切除的精准性，降低并发症发生率，加速病人术后恢复，并改善术后美容效果。然而，腹腔镜手术在腹壁肿瘤治疗中的长期疗效和适用范围仍需进一步的临床研究证实。

Primary abdominal wall tumors constitute approximately 10% of the total spectrum of soft tissue tumors. Based on their biological characteristics, these tumors can be classified into three distinct categories: benign, malignant, and borderline. Different subtypes of abdominal wall tumors exhibit significant heterogeneity in clinical manifestations, pathological features, and prognostic outcomes. A comprehensive preoperative evaluation by a multidisciplinary team, incorporating both pathological and radiological assessments, is indispensable for tailoring individualized treatment strategies. In recent years, laparoscopic surgery has emerged as a promising modality for resection and reconstruction of abdominal wall tumors, particularly those deep-seated or intramural. Compared with conventional open surgery, laparoscopic surgery offers several advantages, including reduced tissue trauma, precise tumor resection, lower rate of postoperative complications, faster recovery, and enhanced cosmetic results. Nevertheless, the long-term efficacy and the breadth of applications of laparoscopic surgery in the management of abdominal wall tumors warrant further investigation through rigorous clinical trials.