中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (02): 122-124.

• 论著 • 上一篇    下一篇

腹腔镜下巨大食管裂孔疝修补术13例分析

马    冰，田    文，陈    凛，李    荣，刘培发   

  1. 中国人民解放军总医院普通外科，北京100853
  • 出版日期:2010-02-01 发布日期:2010-03-11

  • Online:2010-02-01 Published:2010-03-11

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摘要：

目的    探讨腹腔镜下巨大食管裂孔疝应用补片修补和部分胃底折叠术的安全性及有效性。  方法    2006年8月至2009年4月中国人民解放军总医院普通外科对13例巨大食管裂孔疝病人行腹腔镜下裂孔疝补片修补，并同期行部分胃底折叠术。  结果    12例手术成功，1例伴有短食管，手术过程中因分离食管时出现食管损伤中转开胸治疗。手术时间90~180min，平均110min。 术中出血30~120mL，平均50mL，均未输血。12例术后症状完全缓解。术后住院时间3~30d，平均6d。术后随访3~25个月，平均12个月，未发现复发病例。 结论    对于巨大食管裂孔疝，腹腔镜下补片修补是一种安全有效的方法，具有创伤少，恢复快、副反应小的特点。

关键词: 腹腔镜, 食管裂孔疝, 胃底折叠术, 补片

Abstract:

Laparoscopic repair of giant esophageal hiatal hernia        MA Bing,TIAN Wen, CHEN Lin，et al. Department of General Surgery, PLA General Hospital , Beijing 100853 ,China
Corresponding author: TIAN Wen,E-mail: tianwen301@sina.com
Abstract    Objective    To investigate the reliability and effectivity of laparoscopic repair of esophageal hiatal hernia using mesh combined with Toupet partial fundoplication.    Methods    From August 2006 to April 2009, 13 patients with esophageal hiatal hernia were treated by laparoscopic repair using mesh combined with Toupet partial fundoplication at PLA General Hospital.  Results    Twelve patients were completed under laparoscope successfully. One patient converted to open surgery. The operation time was 110 min (90-180 min) and the blood loss volume was 50 mL (30-120 mL). Symptoms of 12 patients were relieved completely. The mean postoperative hospital stay was 6 day (3-30d). The patients were followed up for 3-25 months (mean 12 months). No case was found recurrence of hernia. Conclusion Laparoscopic mesh repair is safe and effective for giant esophageal hiatal hernia with few side effect.   

Key words: laparoscopy, esophageal hiatal hernia , toupet fundoplication, mesh