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腹腔镜手术治疗小儿食管裂孔疝的手术体会

周亮 张敬贤 谷静 宋宝林

临床小儿外科杂志2016,Vol.15Issue(6):632-634,3.
临床小儿外科杂志2016,Vol.15Issue(6):632-634,3.DOI:10.3969/j.issn.1671-6353.2016.06.029

腹腔镜手术治疗小儿食管裂孔疝的手术体会

Laparoscopy in the treatment of children with hiatal hernia:a report of 85 cases

周亮 1张敬贤 1谷静 1宋宝林1

作者信息

  • 1. 沭阳县人民医院 江苏省宿迁市,223600
  • 折叠

摘要

Abstract

Objective To explore the rationales and experiences of laparoscopy in the treatment of chil-dren with hiatal hernia. Methods From June 2003 to September 201 3,85 children with hiatal hernia under-went laparoscopic repair with fundoplication. Four cases of inguinal hernia underwent laparoscopic repair of in-direct inguinal hernia. One case was complicated with hypertrophic pyloric stenosis and deformity of ileal diver-ticulum. Results In this cohort,75 cases were successfully operated. The average operative duration was (1 60 ±25 )(1 00 ~21 0 )min. There was no recurrence during follow-ups. Conclusions Laparoscopy of e-sophageal hernia offers the advantages of minimal trauma,definite efficacy and feasible dealing with other con-current conditions. History of abdominal surgery,large esophageal hernia,diaphragmatic muscular develop-ment,severe hemorrhage and abdominal adhesion are major causes of converting into open surgery. Mastering the indications of conversion reduces the incidence of complications.

关键词

腹腔镜/疝,食管裂孔/胃底折叠术/再手术/儿童

Key words

Laparoscopes/Hernia,Hiatal/Fundoplication/Reoperation/Child

引用本文复制引用

周亮,张敬贤,谷静,宋宝林..腹腔镜手术治疗小儿食管裂孔疝的手术体会[J].临床小儿外科杂志,2016,15(6):632-634,3.

临床小儿外科杂志

OACSTPCD

1671-6353

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