Treatment of postoperative complications of laparoscopic anti-reflux surgery

doi:10.3877/cma.j.issn.1674-6899.2014.01.011

Abstract

Abstract:

Objective

Discuss assessment and treatment of postoperative complications of laparoscopic anti-reflux surgery.

Methods

Clinical data of 725 patients, underwent laparoscopic hiatal herniorrhaphy and fundoplication from September 2005 to April 2014 in People′s hospital of Xinjiang Uyghur Autonomous Region, were retrospectively analyzed.

Results

Laparoscopic hiatal herniorrhaphy and fundoplication were successfully performed in all 725 patients and were followed up for 6 months to 9 years, mean 36.6 months. 45 cases were found postoperative complications, including 21 cases of dysphagia, 4 cases of recurrent hiatal hernia (gastric wrap herniated into the chest), 14 cases of patients with recurrence of symptoms, 6 patients with gas bloating syndrome.

Conclusion

incidence rate of postoperative complications of laparoscopic anti-reflux surgery mainly related to preoperative assessment, Surgeons′ experience, perioperative diet instruction and patient compliance.

Key words: Gastroesophageal reflux disease, Laparoscopic anti-reflux surgery, Postoperative complications

Maisiyiti Alimujiang·, Abudureyimu Kelimu·, Cheng Zhang, Azhatijiang, Zhi Wang. Treatment of postoperative complications of laparoscopic anti-reflux surgery[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2014, 01(01): 39-41.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhwsgflbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2014.01.011

https://zhwsgflbdzzz.cma-cmc.com.cn/EN/Y2014/V01/I01/39

1	Dallemagne B, Weerts JM, Jehaes C, et al. Laparoscopic Nissen fundoplication preliminary report[J]. Surg Laparosc Endosc J, 1991, 1(3): 138-143.
2	王秋生，刘隆，冀涛，等．腹腔镜手术治疗胃食管反流病和贲门失弛缓症[J]．外科理论与实践，2004，9(6)：458-460.
3	克力木，张成，牛伟亚，等．腹腔镜治疗食管裂孔疝的临床应用[J/CD]．中华疝和腹壁外科杂志：电子版，2008，2(2)：10-12.
4	克力木，李义亮，于文庆，等．腹腔镜胃间质瘤切除联合食道裂孔疝修补术的临床体会[J/CD]．中华疝和腹壁外科杂志：电子版，2011，5(2)：144-148.
5	克力木，艾克拜尔·艾力，牛伟亚，等．腹腔镜可调节胃绑带术联合食道裂孔疝修补术五例[J/CD]．中华疝和腹壁外科杂志：电子版，2011，5(2)：256-258.
6	Peters MJ, Mukhtar A, Yunus RM, et al. Meta-analysis of randomized clinical trials comparing open and laparoscopic anti-reflux surgery[J]. Am J Gastroenterol, 2009, 104(6): 1548-1561.

[1]	Qiaoqiao Ma, Chuankai Zhang, Kaijin Guo, Tao Jiang, Zihao Wang, Yong Liu, Liang Hao. Hemostatic powder can reduce blood loss in primary total knee arthroplasty [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(05): 585-589.
[2]	Liuqing Li, Xiaoxiang Chen, Chengyu Lv. Comparison of total laparoscopic and laparoscopic assisted radical gastrectomy in the treatment of advanced gastric cancer in the near and medium term [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 23-26.
[3]	Shijun Liu, Jie Ma, Lujing Shi. Near-and medium-term follow-up study of complete mesangectomy plus standard D2 radical resection for advanced gastric cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 27-30.
[4]	Lixia Zhao, Chunxia Wang, Yifeng Chen, Dongping Hu, Weisheng Zhang, Tao Wang, Honglai Zhang. Effects of visceral obesity on early complications after laparoscopic radical resection for rectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 35-39.
[5]	Huazhi Li, Guang Cao, Diangang Liu, Yajing Zhang. Clinical comparison of descending hepatectomy with different approaches for primary hepatocellular carcinoma [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 52-55.
[6]	Xiaowei Chang, Yu Cai, Zhiyong Zhao, Wei Zhang. Efficacy and safety analysis of high intensity focused ultrasound ablation combined with hepatic arterial chemoembolization in the treatment of primary hepatocellular carcinoma [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 56-59.
[7]	Lu Wang, Lijun Zhou. Effects of different anastomotic methods in total laparoscopic distal subtotal gastrectomy on gastric function recovery and complication rate in patients with gastric cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 92-95.
[8]	Jie Xu, Yajun Li, Yiwen Feng. Comparison of recent follow-up between laparoscopic D2 radical surgery and conventional radical surgery for advanced gastric cancer after SOX neoadjuvant chemotherapy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 647-650.
[9]	Chanjuan Kang, Haitao Zhang, Jingjie Zhai. Effect of pancreatic duct stent implantation in the treatment of acute biliary pancreatitis and its influence on liver function and levels of inflammatory factors [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 667-670.
[10]	Chengwang Fu, Dagang Yang, Rong Wang, Futang Li. Research progress of nutritional and inflammatory markers in resectable pancreatic cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 704-708.
[11]	Haiyun Li, Minxian Zhao, Yingmo Shen, Huiqi Yang. Research progress of fundoplication in preventing postoperative complications of hiatal hernia [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(05): 485-490.
[12]	Qi Han, Maimaitiming Maimaitiaili, Xudong Huang, Hao Wang, Abudureyimu Kelimu, Aili Aikebaier. Mid-term efficacy analysis of laparoscopic sleeve gastrectomy or combined with hiatal hernia repair in the treatment of obesity with gastroesophageal reflux disease [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(05): 501-506.
[13]	Chuanfu Ren, Zhi Yang, En Xu, Ziyun He, Banxin Luo, Xin Chen, Xuefeng Xia. Laparoscopic hernia repair with fundoplication for hiatal hernia with gastroesophageal reflux disease:A clinical analysis of 40 patients [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(05): 507-511.
[14]	Chengqing Li, Wenyi Guo, Lei Wang. Laparoscopic spleen-preserving distal pancreatectomy: rational decision-making in minimally invasive pancreatic surgery [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2024, 13(05): 620-624.
[15]	Liuping Luo, Mengmeng Wu, Xinlei Chen, Kecan Lin. Application value of total mesopancreas excision in radical resection of pancreatic head cancer [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2024, 13(05): 651-656.

Please choose a citation manager

Content to export