中国实用外科杂志2025，Vol.45Issue(4)：461-464,4.DOI:10.19538/j.cjps.issn1005-2208.2025.04.14
腹腔镜胃部手术联合食管裂孔疝修补术安全性及可行性分析
Analysis of the safety and feasibility of esophageal hiatal hernia repair surgery combined with laparoscopic gastric surgeries
摘要
Abstract
Objective To explore the safety and feasibility of esophageal hiatal hernia(HH)repair surgery combined with laparoscopic gastric surgeries.Methods A retrospective analysis was conducted on the perioperative and follow-up data of 37 patients who underwent combined esophageal hiatal hernia repair and laparoscopic gastric surgeries,and 28 patients who underwent only laparoscopic distal gastrectomy,at the General Surgery Department of Xuzhou Medical University Affiliated Hospital from December 2014 to November 2023.The intraoperative and postoperative conditions of patients undergoing combined surgery were summarized,and the clinical data of patients undergoing combined esophageal hiatal hernia repair and laparoscopic gastric surgeries(the combined distal gastrectomy group)and patients undergoing laparoscopic distal gastrectomy alone(the distal gastrectomy group)was compared.Results The rate of patients with preoperative gastroesophageal reflux disease(GERD)experiencing postoperative GERD relief is 90.9％.The GERD-Q score significantly decreased at 3 months post-surgery compared to preoperative levels[(5.7±0.7)vs.(10.7±1.6),P＜0.05],and there was no recurrence of hiatal hernia or other long-term complications.No statistically significant differences were observed in the intraoperative bleeding,postoperative eating time,drainage tube retention time,or postoperative hospital stay between the combined distal gastrectomy group and the distal gastrectomy group(P＞0.05).The two groups also showed no difference in hospitalization expenses[(79 000±19 000)Yuan vs.(74 000±13 000)Yuan,P＞0.05]but exhibited a statistical difference in surgical times[(184.1±30.8)min vs.(139.8±22.7)min,P＜0.01].Conclusion Combining laparoscopic gastric surgery with esophageal hiatal hernia repair simultaneously when conditions permit can treat multiple diseases in unison and is a safe and feasible surgical approach.关键词
腹腔镜手术/食管裂孔疝/联合胃部手术Key words
laparoscopic surgery/hiatal hernia/combined gastric operation分类
医药卫生引用本文复制引用
刘利,王骥,马红钦,杜羽升,赵文星..腹腔镜胃部手术联合食管裂孔疝修补术安全性及可行性分析[J].中国实用外科杂志,2025,45(4):461-464,4.基金项目
Jiangsu Provincial Natural Science Foundation Project(No.BK20231166) 江苏省自然科学基金项目(No.BK20231166) （No.BK20231166）
