To investigate the surgical diagnosis and treatment of hiatal hernia with clinical retrospective study.

To retrospectively analyze the clinical data of the patients with hiatal hernia who received surgical operation in The 1st Affiliated Hospital of Xi′an Jiaotong University from March 2009 to January 2015.

17 patients(9 males and 8 females)were included in this study.The ages ranged from 15 to 78 years old.The categorizations were 2 with typeⅠhiatal hernia, 1 with typeⅡ, 10 with typeⅢand 4 with typeⅣ.3 patients underwent transthoracic Belsey MarkⅣrepair, 1 underwent transabdominal repair, 7 underwent laparoscopic hiatal hernia repair, 5 underwent laparoscopic repair plus Nissen fundoplication and 1 underwent laparoscopic repair plus Dor fundoplication.Gastric distension were found in 2 patients.5 patients had dysphagia, 2 patients had postoperative distension of the abdomen and 1 patient had pyothorax in the 20th day after the surgery.No recurrence of the hiatal hernia was found with the follow-up.

Hiatal hernia repair is a functional operation.Laparoscopic repair operation had advantage of minimally invasive, shortened operative time and postoperative hospital stay time.