Clinical experience of hiatal hernia and gastroesophageal by laparoscopic in primary hospital: 10 cases report

doi:10.3877/cma.j.issn.1674-6899.2016.01.003

Abstract

Abstract:

Objective

Evaluate the clinical effects and feasibility of hiatal hernia and gastroesophageal by laparoscopic in primary hospital.

Methods

Form March 2009 to December 2014, 10 cases of hiatal hernia and gastroesophageal in Yanqi people′s Hospital, all the patients was done Nissen fundoplication and 7cases underwent patch repair for hiatal hernia.

Results

10 cases all be done by laparoscopic, no one conversion to laparotomy.The operation time was 113 min, blood loss were 45.5ml, mean postoperative hospital stay were 7.6 days.Esophagitis and esophageal ulceration cured were observed by gastroscope after operation at first month and sixth month, With the follow-up of 11 to 18 months, 10 cases no recurrence and no gastroesophageal.

Conclusion

Nissen fundoplication and patch repair by laparoscopic is a safe and reliable treatment for hiatal hernia and gastroesophageal, The primary hospital with laparoscopic equipment facility and experience of conversion to laparotomy can do this treatment, it can product remarkable long-term clinical and social effects.

Key words: Hernia, hiatal, Gastroesophageal, Laparoscopic

Yong Li, Yasheng Aihaiti·, Lei Chen. Clinical experience of hiatal hernia and gastroesophageal by laparoscopic in primary hospital: 10 cases report[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2016, 03(01): 6-8.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhwsgflbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2016.01.003

https://zhwsgflbdzzz.cma-cmc.com.cn/EN/Y2016/V03/I01/6

References 7

1	Müller-Stich BP,Köninger J,Müller-Stich BH, et al.Laparoscopic mesh-augmented hiatoplasty as a method to treat gastroesophageal reflux without fundoplication：single-center experience with 306 consecutive patients[J]. Am J Surg, 2009, 198(1): 17-24.
2	Braghetto I,Korn O,Csendes A, et al.Postoperative results after laparoscopic approach for treatment of large hiatal hernias：is mach always needed Is the addition of an antireflux procedure necessary[J]. Int Surg, 2010, 95(1): 80-87.
3	刘婷, 杨胜勇, 吴博中. 滑动型食管裂孔疝长期误诊1例分析[J]. 中国实用内科杂志, 2013, (s1): 173-174.
4	Fitzgibbons RJ,Greenburg AG.疝外科学[M].5版. 马颂章, 主译. 北京: 人民卫生出版社, 2003: 448, 454-455.
5	张葆勋, 伍冀湘, 蒋俭, 等. 气腹与腹壁悬吊无气腹结合腹腔镜手术治疗滑动型食管裂孔疝17例疗效分析[J/CD]. 中华胃食管反流病电子杂志, 2014, 1(1): 24-27.
6	李福年, 周荣祥, 李杨. 腹壁与疝外科学[M]. 北京: 人民卫生出版社, 2004: 377-378.
7	吴嘉煖, 巩兰波, 蓝琳, 等. 滑动型食管裂孔疝患者高分辨率食管测压及阻抗-pH监测特点[J]. 现代消化及介入诊疗, 2010, 15(3): 136-140.

[1]	Jia Fu, Haimin Xiao, Xi Wu, Tao Feng, Shuai Shi. Value of age-adjusted Charlson comorbidity index in assessing perioperative complications for laparoscopic colorectal cancer [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(05): 336-341.
[2]	Xiaoyu Li, Qing Jiang, Haiqin Tang, Jingzhi Luo. Clinical study of perioperative comprehensive management in ERCP +LC treatment of patients with choledocholithiasis complicated with acute cholangitis [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 57-60.
[3]	Zibo Zhen, Jinhu Liu. To explore the influencing factors of postoperative intestinal dysfunction in patients undergoing laparoscopic cholecystectomy under intravenous general anesthesia based on the nomogram model [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 61-65.
[4]	Mingchao Yi, Xin Wang, Han Xiang, Huaidong Su, Wei Zhang. Clinical application of a T-type memory wire in transumbilical single-hole laparoscopic cholecystectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 599-599.
[5]	Mingchao Yi, Xin Wang, Han Xiang, Huaidong Su, Wei Zhang. Clinical application of a T-type memory wire in transumbilical single-hole laparoscopic cholecystectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 599-599.
[6]	Xin Lu, Jiayi Xu, Yang Liu, Qin Yang, Wenwen Ju, Yinglong Xu. Comparison of the effects of early LC and PTCD continuous LC on liver function and prognosis of patients with acute cholecystitis [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 648-650.
[7]	Jianbo Zhang, Aihua Dong. Comparison of the efficacy and complications of different laparoscopic operations for cholecystolithiasis combined with choledocholithiasis [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 693-696.
[8]	Hongbin Wang, Xiao He, Jingzhou Wu. Safety and anti-reflux effect of piggyback interposition single channel jejunal reconstruction in laparoscopic proximal gastrectomy for AEG [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 526-529.
[9]	Xiaohui Li, Changsheng Shangguan, Ying Xiang, Zhijie Pei, Junzhi Che, Fei Xie. Relationship between body energy metabolism and sex hormone levels in patients with polycystic ovary syndrome after 3D laparoscopic sleeve gastrectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 538-541.
[10]	Zhao Niu, Bo Li, Wanfu Zhang, Wendi Jin, Chunxiao Wang, Xiaogang Li. Safety and efficacy of laparoscopic sleeve gastrectomy combined with cholecystectomy in treatment of obesity complicated with cholecystolithiasis [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 635-639.
[11]	Houping Zhou, Yuan Yuan, Tingzheng Ou, Beibei Li, Mingming Shang, Benneng Yao, Xin Song, Xuemei Luo. Application of retrograde separation along space between Laennec's capsule and cystic plate combined with Pringle maneuver in difficult laparoscopic cholecystectomy (video attached) [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(05): 540-544.
[12]	Hailong Yang, Manjun Deng, Yichen Fan, Mengyu Xu, Fangde Chen, Weihao Wu, Shengyuan Zhang. Risk factors of bile leakage after primary suture of laparoscopic common bile duct exploration: a Meta-analysis [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(05): 545-550.
[13]	Qingliang Tai, Bo Shi, Xinyu Shi, Guoliang Chen, Junjie Chen, Guanting Wu, Suo Wang, Jinbing Sun, Wen Gu, Jianxin Ye, Songbing He. Clinical effectiveness of laparoscopic subtotal colectomy in the treatment of intractable slow transit constipation [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 478-483.
[14]	Xiuyan Sun, Qinglei Xu, Pengtao Ma, Zhiyuan Hu, Chuanzhen Guo, Chenghong Zhu. Correlation analysis of body temperature changes during laparoscopic radical gastrectomy with pressure injury and microenvironment of the compression site [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 480-484.
[15]	Hongqing Ma, Miao Yu, Jianfeng Zhang, Xueliang Wu, Xvhua Hu, Guanglin Wang, Zesong Meng, Bin Yv, Guiying Wang. Efficacy of hybrid versus traditional central approach for laparoscopic radical resection of rectal cancer [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(05): 545-550.

Please choose a citation manager

Content to export