腹腔镜手术治疗食管裂孔疝28例临床疗效分析

Laparoscopic esophageal hiatal hernia repair: 28 cases of experience

目的探讨使用腹腔镜行食管裂孔疝修补术的安全性及治疗效果。方法对胶州市人民医院2008年1月至2011年1月,28例腹腔镜食管裂孔疝修补术患者临床资料进行回顾性分析,其中19例应用补片修补,9例丝线缝合裂孔。12例行Toupet手术（270°胃底折叠）,16例行Dor手术（贲门前胃底180°固定术）。结果本组患者手术均成功,术后症状完全消失21例,好转7例。随访1~2年,均无复发。结论腹腔镜食管裂孔疝修补术疗效确切、安全、创伤小、术后康复快。

Objective To explore the safety and therapeutic effect of laparoscopic esophageal hiatal hernia repair. Methods A retrospective analysis was performed on 28 patients with esophageal hiatal hernia who underwent laparoscopic hiatal hernia repair in Jiaozhou People＇s Hospital from January 2008 to January2011. Among the participants,mesh was used in 19 cases; simple sutures were used in other 9 cases. And12 patients received Toupet fundoplication and 16 received Dor fundoplication. Results All patients were treated by laparoscopy successfully,with complete relief in 21 patients and improvement in 7. All the patients were followed up for 1 to 2 years,and none was found to be relapsed. Conclusion Laparoscopic hiatal hernia repair is safe,effective,and minimally invasive,with short recovery course.