中国实用外科杂志Issue(5)：416-418,3.DOI:10.7504/CJPS.ISSN1005-2208.2014.05.13
腹腔镜手术治疗胃食管反流病合并食管裂孔疝650例临床分析
Laparoscopic anti-reflux surgery for gastroesophageal reflux disease with hiatal hernia:A clinical analysis of 650 patients
克力木 1阿力木江·麦斯依提 1张成 1阿扎提江 1皮尔地瓦斯 1王志1
作者信息
- 1. 新疆维吾尔自治区人民医院微创外科疝和腹壁外科，新疆乌鲁木齐830001
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety of laparoscopic hiatal hernioraphy plus fundoplication for gastroesophageal reflux disease (GERD). Methods The clinical data of 650 patients underwent laparoscopic hiatal hernioraphy plus fundoplication from September 2005 to August 2013 in People’s Hospital of Xinjiang Uyghur Autonomous Region were analyzed retrospectively. Results Laparoscopic hiatal herniorrhaphy plus fundoplication were successfully performed in all 650 patients without conversion. Combined operation was performed in 135 patients (20.8%). The average duration of operation was 64.3 min (45-90min) and the average amount of bleeding was 18 mL (5-50mL). No intraoperative or postoperative blood transfusion. Liquid diet was used in 24-48 h after operation. Postoperative hospital stay was 2-8 d. All the patients were followed up for 6 months to 8 years. Postoperative dysphagia occurred in 21 patients. Recurrent hiatal hernia (gastric wrap herniated into the chest) occurred in 4 patients. Recurrence of symptoms occurred in 14 patients. Gas bloating syndrome occurred in 6 patients. Conclusion Laparoscopic hiatal hernioraphy plus fundoplication is safe and effective with less invasive,faster recovery,fewer complication, which can combine surgical treatment of other diseases and is the ideal choice for GERD with hiatal hernia.关键词
胃食管反流病/食管裂孔疝修补术/胃底折叠术/腹腔镜Key words
gastroesophageal reflux disease/hiatal hernia repair/fundoplication/laparoscopy分类
医药卫生引用本文复制引用
克力木,阿力木江·麦斯依提,张成,阿扎提江,皮尔地瓦斯,王志..腹腔镜手术治疗胃食管反流病合并食管裂孔疝650例临床分析[J].中国实用外科杂志,2014,(5):416-418,3.
