Anatomical characteristics and surgical key points of esophageal hiatal hernia

ZHOU Tai-cheng

doi:10.19538/j.cjps.issn1005-2208.2026.04.24

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Chinese Journal of Practical Surgery ›› 2026, Vol. 46 ›› Issue (4) : 527-531. DOI: 10.19538/j.cjps.issn1005-2208.2026.04.24

Anatomical characteristics and surgical key points of esophageal hiatal hernia

ZHOU Tai-cheng

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Abstract

The main anatomical and pathological changes of hiatal hernia are as follows: enlargement of the esophageal hiatus, loosening of the phrenoesophageal ligament, weakness of the diaphragmatic crura, and obturation of the angle of His. In response to the above changes, laparoscopic hiatal hernia repair and antireflux surgery require sufficient mobilization of the esophagus to restore the length of the intra-abdominal esophagus, reliable suture repair of the diaphragmatic crura, and mesh reinforcement when necessary. The Nissen, Toupet, or Dor procedure should be selected according to esophageal motility to reconstruct the antireflux barrier, and a stable antireflux structure should be formed through fixation techniques.

Key words

hiatal hernia / anatomy / laparoscopy / repair / antireflux surgery

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ZHOU Tai-cheng. Anatomical characteristics and surgical key points of esophageal hiatal hernia[J]. Chinese Journal of Practical Surgery. 2026, 46(4): 527-531 https://doi.org/10.19538/j.cjps.issn1005-2208.2026.04.24

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