Completely laparoscopic hiatal hernia repair with antireflux surgery：A clinical analysis of 58 patients        SUN Zuo-cheng，GAO Hong-lei，XU Wen-guang，et al. Department of General Surgery，Weifang People’s Hospital, Weifang Medical University，Weifang 261041，China
Corresponding author：SUN Zuo-cheng，E-mail：szcwy123@163.com
Abstract    Objective    To evaluate the clinical value of completely laparoscopic hiatal hernia repair with antireflux surgery. Methods    The clinical data of 58 patients (typeⅠin 26，typeⅡin 8，typeⅢ in 20，typeⅣ in 4) performed completely laparoscopic hiatal hernia repair and Toupet fundoplication from May 2008 to August 2012 in Weifang People’s Hospital were analyzed. Results    All of the operation were successful within 1.5-3.0 h. Blood loss during operation procedure was 50-150 mL. Among 58 patients, nonabsorbable suture was used in 32 patients and mesh was used in 26 patients. Recovery time of intestinal tract function was 24-48 h. The time of taking liquid food was 36-72 h. The time in hospital was 5-8 d. The patients were followed up for 1 to 50 months．The symptoms of 42 patients disappeared and 16 patients were partial remission. There was no hernia recurrence．Conclusion    Completely laparoscopic hiatal hernia repair with antireflux surgery according to the conditions of patients is a minimally invasive，safe and effective surgery with a good prospect.