摘要
目的探讨腹腔镜手术修补巨大食管裂孔疝的临床价值。方法该科2001年10月￣2005年3月共收治6例巨大食管裂孔疝病人,采用腹腔镜手术修补巨大食管裂孔疝+胃底折叠术(Toupet)。其中气腹腹腔镜手术5例,非气腹腹腔镜手术1例。结果手术150～275min,平均214min,术中出血20～40mL,平均30mL,术后12～24h患者排气,6～12h拔除胃管。术后第1天进流食,病人无吞咽困难。术后7～9d出院。出院后停用抑酸剂,随访6～36个月症状无复发。结论腹腔镜手术修补巨大食管裂孔疝具有创伤小、恢复快和疗效好等优势。
[Objective] To investigate the clinical value of laparoscopic repair for patients with huge hiatal hernia. [Methods] From October 2001 to March 2005, 6 patients with huge hiatal hernia underwent laparoscopic hernia repair and fundophcation （Toupet）. Among them, 1 patient was performed gasless laparoscopy. [Results] The operating time in average was 214 minutes （150-275）, operative blood loss in average was 30 mL （20-40）, the gastric tube were pulled out 6-12 hours after the operation. The patients began to take food on 1st post operatine day with no dysphagia. Postoperative hospitalization was 7-9 days. All patients need no medication after operation. No symptom recured after 6-36 months follow-up. [Conclusions] Laparoscopic huge hiatal hernia repair had the advantages of minimal invasive, less pain and complication, shorter hospitalization and faster convalescence.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第1期56-58,共3页
China Journal of Endoscopy
关键词
腹腔镜
巨大
食管裂孔疝
手术
laparoseopy
huge
hiatal hernia
operation
