摘要
目的探讨腹腔镜下应用补片行老年食管裂孔疝修补术的方法、安全性及临床效果。方法 2007年3月~2010年11月在腹腔镜下应用补片修补食管裂孔疝的21例老年患者,回顾分析临床资料并进行术后随访。结果 21例腹腔镜下应用补片行食管裂孔疝修补术的患者均顺利完成手术。手术时间61~128min,平均78min;手术出血10~110ml,平均25ml;术后住院3~21d,平均5d。术后6例出现短期的吞咽困难,均经保守治疗后好转,无手术死亡发生。随访12~31个月,平均20个月,未见食管裂孔疝复发病例及有关补片并发症的发生。结论腹腔镜技术对老年人实施食管裂孔疝修补术是一项安全有效的手术方式,能够取得良好的临床效果。
Objective To investigate the methods,safety and efficacy of laparoscopic repair of the esophageal hiatal hernia in elderly patients.Methods There were twenty one elderly patients with esophageal hiatal hernia received the laparoscopic repair in our hospital from March 2007 to November 2010.The clinical data were analyzed and patients were followed up after surgery.Results All of the twenty one patients were completed laparoscopic repair of the esophageal hiatal hernia successfully.The operation time was 78 min in average(61~128 min)and the blood loss was between 10~110 ml,25ml in average.Six patients developed transient dysphagia after surgery,the symptoms subsided after conservative treatment.The mean postoperative hospital stay was 5 days(3~21 days).The patients were followed up for 12~31 months(mean 20 months),no recurrence or complication with mesh were found.Conclusions Laparoscopic repair of the esophageal hiatal hernia in elderly patients is a safe and can achieve good clinical results.
出处
《中华保健医学杂志》
2012年第2期112-114,共3页
Chinese Journal of Health Care and Medicine