【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。减少手术并发症,随访腹腔镜治疗食道裂孔疝的效果。方法对280例食管裂孔疝患者使用腹腔镜行食管裂孔疝修补术,其中132例做胃底270°部分折叠术(Toupet术),148例做胃底360°折叠术(Nissen术)。36例应用补片修补疝缺口,剩余患者采用直接缝合。结果 280例腹腔镜食管裂孔疝修补术全部获得成功。手术时间30～190min,平均手术时间110min,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。结论腹腔镜食道裂孔疝修补术具有疗效确定、安全和创伤小的优点。并发症率极低。更多还原

【Abstract】 Objecfive To investigate the efficacy and safety of laparoseopic repair of paraesophageal hernia.Methods 280 patients underwent laparoscopic repair of paraesophageal hernia,including 148 cases having laparoscopic Nissen fundoplication and 132 having laparoscopic Toupet fundoplication.Results Laparoscopic repair of paraesophageal hernia was completed successfully in all 280 patients.The average operation time was 110minutes and the blood loss was between 10 to 50 m1.Postoperative oral feedings were resumed after 24 to 48 hours of surgery,and no postoperative complication occurred.The median postoperative hospital stay was 5.7 days.Conclusions Laparoscopic repair of paraesophageal hernia is an effective and safe surgical procedure withminimal invasion.更多还原