胃食管结合部良性疾病的腹腔镜治疗

Laparoscopic treatment of benign disease of gastro-esophageal junction

胃食管结合部良性疾病临床上以胃食管反流病、食管裂孔疝和贲门失弛缓症最为常见,中、重度病人通常需要外科手术治疗。传统外科的开放式手术创伤大、围手术期并发症发生率较高,随着腹腔镜技术的日臻成熟,针对上述疾病所开展的腹腔镜胃底折叠术、腹腔镜食管裂孔疝修补术、腹腔镜贲门括约肌切开术逐渐被临床应用。临床研究显示:腹腔镜微创技术在治疗胃食管结合部良性疾病方面具有手术创伤小、恢复快、操作安全、疗效可靠等优势。

The common benign diseases of gastroesophageal junction includes gastroesophageal reflux disease, hiatal hernia and achalasia of the cardia. The patients with moderate to severe diseases usually require surgical treatment. The traditional open surgery causes more injury and higher perioperative complications. With the laparoscopic technology becoming mature, the laparoscopic operations such as fundoplication, repair of hiatal hernia and Heller myotomy were recommended as a feasible surgical procedure for the treatment of the common benign diseases of gastroesophageal junction. According to our clinical studies, laparoscopy operation should be the method to treat the common benign diseases of gastroesophageal junction, with the advantages of micro-trauma, rapid recovery, safety, feasibility and reliable efficacy.