To researchthe efficacy of laparoscopic hiatal hernia repair and fundoplication and cholecystectomy treatment of hiatal hernia combined with gastroesophageal reflux disease and gallstone.

27 patients′information ofhiatal hernia combined with gastroesophageal reflux disease and gallstone that underwentlaparoscopic hiatal hernia repair and fundoplication and cholecystectomy in Xinjiang Uygur Autonomous Region People′s Hospital from August 2012 to August 2016.22 cases were adopted pure hiatal hernia suture, 2 cases used biological patch repair, 1 case used Johnson PHY patch repair, 1 case used Bade patch repair, 1 case used Tyco hiatal hernia dedicated anti-blocking patch repair.Analyzed and detected24 hours esophageal pH, esophageal manometry, GERD Q score and postoperative complications before surgery and 6 months postoperativeof these patients′.Retrospective analysis of the clinical efficacy of laparoscopic hiatal hernia repair and fundoplication and cholecystectomy treatment of hiatal hernia combined with gastroesophageal reflux disease and gallstone.

There was no perioperative deaths and serious complications during perioperative.The reflux symptoms were significantly improved postoperative.In reflux time(1.40±2.10), the number of reflux(29.83±19.71), acid reflux time percentage(6.47±8.79)and DeMeester score(7.28±7.38)were lower than the preoperative(2.04±1.91), (120.40±82.72), (9.90±9.27), (28.23±42.16), respectively, GERD Q scale score(7.18±1.33)was significantly lower than preoperative(10.91±2.02), the difference was statistically significant(P<0.05). LES pressure with minimum resting breathing was (7.24±6.86), mean resting breathing was (12.91±6.89), which were significantly increased than preoperative (0.70±6.15), (97.33±7.72), respectively, residual pressure with average was(8.16±3.82), maximum was(16.10±12.05), weresignificantly increased than preoperative(4.36±4.77), (7.49±5.15), respectively, relaxation rate(58.50±25.47)%was significantly reduced than preoperative (62.27±27.55)%, but swallowing invalid (11.25±21.04)was increased than preoperative (6.36±10.26), the difference was no significant(P>0.05). The median follow-up time was10 months, with no recurrence during follow-up.

Laparoscopic hiatal hernia repair and fundoplication can effectively inhibit reflux symptoms, increase LES pressure, which worthy of promotion, in patients with pain resolved and effective, worthy of promotion.