【摘要】 目的探讨3D高清腹腔镜在食管裂孔疝修补术中的临床应用价值。方法对徐州医学院附属淮安医院2014年11月至2015年2月,行3D腹腔镜食管裂孔疝修补术8例患者的临床资料进行回顾性分析,其中3例予以单纯缝合,5例使用补片。结果 8例均顺利进行3D腹腔镜下食管裂孔疝修补手术,无中转及死亡病例,平均手术时间为(110±18)min,平均出血量为(28±13)ml,恢复流质饮食时间为(2.0±0.3)d,平均住院时间为(8.9±2.5)d,无严重术后并发症的发生,术后1个月临床症状完全消失,未出现疝复发。结论 3D高清腹腔镜能实现精细化操作,使用3D腹腔镜行食管裂孔疝修补手术更方便,手术质量更高,并发症更少,并取得良好的近期疗效。更多还原

【Abstract】 Objective To investigate the application of three-dimensional laparoscopic paraesophageal hernia repair. Methods There were 8 patients from November 2014 to February 2015 underwent threedimensional laparoscopic repair of hiatal hernia,5 cases of them repaired with mesh and 3 cases of them without mesh. Results All operation succeeded. The mean time of operation was( 110 ± 18) minutes,average intraoperative bleeding was( 28 ± 13) ml,the mean postoperative time of liquid intake was( 2. 0 ± 0. 3) days,the mean postoperative hospital stay was( 8. 9 ± 2. 5) days. No serious postoperative complications occurred.The clinical symptoms disappeared in one month after operation,and no recurrence occurred. Conclusion The three-dimensional laparoscopic paraesophageal hernia repair may be performed safely and effectively with decreased surgical difficulties.更多还原