中国普通外科杂志2025，Vol.34Issue(4)：640-647,8.DOI:10.7659/j.issn.1005-6947.250111
"领带技术"在腹腔镜食管裂孔疝修补及胃底折叠手术中的应用
Application of the"necktie technique"in laparoscopic esophageal hiatal hernia repair and fundoplication surgery
摘要
Abstract
With the rising incidence of hiatal hernia and gastroesophageal reflux disease,surgical techniques urgently require refinement to improve patient outcomes.Guided by the concept of"anatomical priority",Professor Chen Shuang's team has established a standardized seven-step laparoscopic protocol,emphasizing three key components:precise dissection of the"sacred plane",three-dimensional crural reconstruction,and tension-controlled fundoplication.To address limitations such as restricted intraoperative visualization and poor reproducibility,the team further developed the innovative"necktie traction technique".This method employs a red pediatric catheter to create a dynamic traction system,enabling directional field exposure,axial esophageal repositioning,and quantitative control of fundoplication.Integrating biomechanical principles,the technique provides a visualized and standardized operative pathway,significantly enhancing surgical safety,efficacy,and reproducibility.As a novel approach combining anatomical restoration with functional anti-reflux reconstruction,the"necktie technique"offers robust technical support for the standardized promotion of laparoscopic anti-reflux surgery.关键词
疝,食管裂孔/疝修补术/腹腔镜/缝合技术Key words
Hernia,Hiatal/Herniorrhaphy/Laparoscopes/Suture Techniques分类
医药卫生引用本文复制引用
薛鹏,马宁,周太成.."领带技术"在腹腔镜食管裂孔疝修补及胃底折叠手术中的应用[J].中国普通外科杂志,2025,34(4):640-647,8.基金项目
广东省基础与应用基础研究基金资助项目(2021A1515410004). （2021A1515410004）
