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腹腔镜手术治疗食管裂孔疝及胃食管反流性疾病的临床体会

李忠 左旭辉 肖越华 王卫斌 周旺 唐果

腹腔镜外科杂志2013,Vol.18Issue(2):109-111,3.
腹腔镜外科杂志2013,Vol.18Issue(2):109-111,3.

腹腔镜手术治疗食管裂孔疝及胃食管反流性疾病的临床体会

Clinical experiences on treating hiatal hernia and gastroesophageal reflux diseases by laparoscopy

李忠 1左旭辉 1肖越华 1王卫斌 1周旺 1唐果1

作者信息

  • 折叠

摘要

Abstract

Objective; To evaluate the efficacy and safety of laparoscopic treatment for hiatal hernia and gastroesophageal reflux diseases. Methods; The clinical data of 36 patients who underwent laparoscopic surgery (n =20) and laparotomy (n - 16) for hiatal hernia and gastroesophageal reflux disease from Jan. 2009 to Nov. 2012 were analyzed retrospectively. The operation time, intraoperative blood loss, postoperative hospital stay, periods of antibiotic use, postoperative gastrointestinal functional recovery time and postoperative complications were served as observational indicators. Results;Twenty patients were treated by laparoscopic operation (55. 6% ) and 16 patients were treated by open surgery (44. 4% ). The laparoscopic group showed more advantages over open group on operation time,intraoperative blood loss, postoperative hospital stay, periods of antibiotic use, postoperative gastrointestinal functional recovery time and postoperative complications (P<0.05). Conclusions; Laparoscopic treatment for hiatal hernia and gastroesophageal reflux diseases is safe and reliable,it has wide prospect of clinical application.

关键词

疝,食管裂孔/胃食管反流/腹腔镜检查/胃底折叠术

Key words

Hernia, hiatal/ Gastroesophageal reflux/ Laparoscopy/ Fundoplication

分类

医药卫生

引用本文复制引用

李忠,左旭辉,肖越华,王卫斌,周旺,唐果..腹腔镜手术治疗食管裂孔疝及胃食管反流性疾病的临床体会[J].腹腔镜外科杂志,2013,18(2):109-111,3.

基金项目

湖南省卫生厅县级医院临床科研能力培育项目课题 ()

腹腔镜外科杂志

OACSTPCD

1009-6612

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