摘要
目的：总结腹腔镜下应用补片行食管裂孔疝修补和部分胃底折叠术治疗食管裂孔疝的初步经验。方法：2007年5月至2009年12月为13例食管裂孔疝患者行腹腔镜食管裂孔疝修补术或（和）胃底折叠术。观察术后相关并发症。结果：13例手术均获成功,无中转开放手术。手术时间130-205min,平均152min,术中基本无出血。术后第2天开始饮水,第3天开始进流质饮食。术后住院4-6d。1例直接缝合者术日晚发生气胸,经胸腔穿刺抽气消失。1例胃底折叠术患者在开始进普通饮食时有轻微吞咽困难,术后1个月临床症状消失。术后随访6-12个月,平均8.5个月,行钡餐造影或CT检查均未见复发。结论：腹腔镜下应用补片和（或）胃底折叠术治疗食管裂孔疝安全有效,值得临床推广。
Objective：To summarize the primary experiences of laparoscopic hiatal hernia repair with mesh and partial fundoplication in treatment of hiatal hernia.Methods：Between May 2007 and Dec.2009,13 patients with hiatal hernia underwent laparoscopic hiatal hernia repair and/or fundoplication.The postoperative complications were observed.Results：All cases were operated uneventful without converting to laparotomy.The mean operative time was 152min（range 130-205min）.Hardly any intraoperative bleeding occurred.Patients started drinking water 2 days after the operation,and taking liquid food 1 day later.The postoperative hospital stay was 4-6 days.Pneumothorax occurred in one case of direct suturing in the operative evening,and cured by thoracocentesis.1 case with fundoplication suffered from slight difficulty in swallowing when taking normal food,and the symptom completely disappeared 1 month later.All patients were followed-up for 6 months to 1 year（mean 8.5 months） by barium meal or CT scanning and no hernia recurrence present.Conclusions：Laparoscopic hernia repair using mesh and/or fundoplication for hiatal hernia is safe and effective,and is worth further clinical application.
出处
《腹腔镜外科杂志》
2010年第8期578-580,共3页
Journal of Laparoscopic Surgery
