【摘要】 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62例食管裂孔疝患者行腹腔镜食管裂孔疝修补术,其中46例做胃底270°部分折叠术(Toupet术),16例做胃底360°折叠术(Nissen术)。21例应用补片修补疝缺口,41例采用7号丝线缝合。随访时间中位数18个月。结果:62例腹腔镜食管裂孔疝修补术全部成功。手术时间110(30～190)min,失血10～50mL;术后24～48h进流质饮食,无术后并发症;术后平均住院5.7d。结论:腹腔镜食管裂孔疝修补术具有疗效确定、安全和创伤小的优点,值得进一步推广应用。更多还原

【Abstract】 Objective:To investigate the efficacy and safety of laparoscopic repair of paraesophageal hernia,Methods:Sixty-two patients underwent laparoscopic repair of paraesophageal hernia,including 16 cases receiviing laparoscopic Nissen fundoplication and 46 receiving laparoscopic Toupet fundoplication.Results:Laparoscopic repair of paraesophageal hernia was completed successfully in all 62 patients.The average operation time was 110 min and the blood loss was 10 to 50 mL.Postoperative oral feedings were resumed after 24 to 48 hours post operation,and no postoperative complication occurred.The median postoperative hospital stay was 5.7 days.Conclusion:Laparoscopic repair of paraesophageal hernia was an effective and safe surgical procedure with minimal invasion.更多还原