腹腔镜食管裂孔疝修补术的临床应用

Laparoscopic repair of paraesophageal hernia

目的探讨使用腹腔镜行食管裂孔疝修补术的疗效和安全性。方法对20例食管裂孔疝患者使用腹腔镜行食管裂孔疝修补术其中2例加做胃底270°部分包裹折叠术(Toupet术),18例加做胃底360°折叠包裹术(Nissen术)。结果20例腹腔镜食管裂孔疝修补术全部获得成功。平均手术时间2.2h失血10～150ml;术后24～36h进流质饮食,无术后并发症;术后平均住院5d。结论采用腹腔镜行食管裂孔疝修补术具有疗效确定、安全和创伤小的优点。

Objective To investigate the efficacy and safety of laparoscopic repair of paraesophageal hernia.Methods Twenty patients underwent laparoscopic repair of paraesophageal hernia, including 18 cases having laparoscopic Nissen fundoplication and 2 having laparoscopic Toupet fundoplication. Results Laparoscopic repair of paraesophageal hernia was completed successfully in all 20 patients.The average operation time was 2.2h and the blood loss was between 10～150 ml. Postoperative oral feedings were resumed after 24～36 h of surgery, and no postoperative complication occurred. The median postoperative hospital stay was 5 days.Conclusion Laparoscopic repair of paraesophageal hernia is an effective and safe surgical procedure of minimal invasion.