Clinical analysis of laparoscopic repair of giant hiatal hernia

doi:10.3877/cma.j.issn.1674-6899.2016.04.005

Abstract

Abstract:

Objective

To investigate the laparoscopic repair of giant hiatal hernia clinical efficacy and experience.

Methods

Retrospectively analyzed 27 patients from Xinjiang Uygur Autonomous Region people′s Hospital from July 2013 to February 2016 who accepted laparoscopic hiatal hernia repair with anti-reflux fundoplication surgery.Compared 24 hours esophageal pH monitoring and high resolution esophageal manometry and postoperative complications of the patients preoperative and 1 years after operation.

Results

The operation time was 98 to 150 min, the average bleeding was(50.1±22)ml, pulling out the gastric tube time was 6 to 12 hours, the average postoperative hospitalization time was(4.5±2.1)days, postoperative reflux symptoms and the merging anemia, asthma of patients symptoms all significantly improved.

Conclusion

Laparoscopic hiatal hernia repair with anti-reflux surgery is an effective surgical and has less trauma and faster recovery, which can be used to first choice of treatment for giant hiatal hernia, it is worthy of clinical promotion.

Key words: Laparoscopy, Hernia, hiatal, Esophageal hiatal hernia repair

Maimaiti Yusufu·, Maimaitiming Maimaitiaili·, Abudureyimu Kelimu·. Clinical analysis of laparoscopic repair of giant hiatal hernia[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2016, 03(04): 159-161.

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Figures/Tables 2

References 12

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组别	反流时间/(h)	反流次数/(次)	LES压力静息平均值/(mmHg)	残余压力平均值/(mmHg)	DeMeester/(分)
术前	2.98±1.71	140.87±78.42	6.18±7.33	4.36±4.37	35.23±38.16
术后1年	1.71±1.23	27.83±12.71	12.18±7.32	9.26±3.12	6.98±6.30
t值	4.375	4.273	6.059	7.416	5.109
P值	0.033	0.035	0.003	0.001	0.005

组别	反流时间/(h)	反流次数/(次)	LES压力静息平均值/(mmHg)	残余压力平均值/(mmHg)	DeMeester/(分)
术前	2.98±1.71	140.87±78.42	6.18±7.33	4.36±4.37	35.23±38.16
术后1年	1.71±1.23	27.83±12.71	12.18±7.32	9.26±3.12	6.98±6.30
t值	4.375	4.273	6.059	7.416	5.109
P值	0.033	0.035	0.003	0.001	0.005

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