【摘要】 目的探讨腹腔镜手术同时治疗食管裂孔疝、反流性食管炎合并胆囊结石的可行性。方法回顾性分析2004年3月～2006年5月共进行腹腔镜胆囊切除术(LC)合并腹腔镜食管裂孔疝修补、胃底折叠术14例患者的临床资料。采用5孔法,均先行腹腔镜食管裂孔疝修补,再行胃底折叠术,其中9例行Nissen胃底折叠术,5例行Toupet胃底折叠术,最后行LC。结果14例都一次性地顺利完成了手术,术后症状明显改善,无出血、腹腔感染、胆漏等并发症。随访1～29个月,无食管狭窄、切口疝等并发症的发生。结论食管裂孔疝、反流性食管炎合并胆囊结石的患者如无手术禁忌证,一期行腹腔镜手术是可行的。更多还原

【Abstract】 Objective To explore the feasibility of laparoscopic surgery of esophageal hiatus hernia and reflux esophagitis with simultaneous cholecystolithiasis. Methods A retrospective analysis of 14 cases laparoscopic cholecystectomy (LC) combining laparoscopic esophageal hiatus hernia repair and fundoplication was made from March 2004 to May 2006. Results Five-port methods were performed to have laparoscopic fundoplication followed by esophageal hiatus hernia repair. There were 9 cases received Nissen procedure,and 5 received Toupet procedure. Finally LC was performed. All patients had received therapy successfully during the same surgical procedure by laparoscopy. The symptoms improved obviously and there were not postoperative complications such as bleeding,abdominal infection and bile leakage. The follow-up period was 1 to 29 months. No complications as esophagus stegnosis or Trocar hernia happened. Conclusion It′s feasible to have primary laparoscopic surgery for the patients suffering from esophageal hiatus hernia and reflux esophagitis with simultaneous cholecystolithiasis if there was not contraindications.更多还原