To study and explore the anaesthetic method of hiatal hernia repair in laparoscopic esophageal hiatus, in order to improve the anesthesia safety of laparoscopic hiatal hernia repair surgery.

Collected the clinical data of 80 cases with esophageal hiatal hernia during January 2014 to December 2016 who underwent laparoscopic esophageal hiatal hernia repairing operation.The method of anaesthesia and surgery in the treatment were summarized.The airway pressure, oxygen index operative time, intraoperative blood loss, postoperative consciousness recovery, intraoperative and postoperative adverse reactions were observed.

All patients were successfully completed laparoscopic hiatal hernia repair surgery, the time was(87.65±29.42)minutes, the amount of hemorrhage was(39.43±10.69)ml, postoperative recovery time, extubation time was(7.39±2.51)minutes, (9.64±2.73)minutes.There was 1 patient with hypotension, 3 cases of postoperative patients with hypercapnia after timely treatment, have been effectively corrected.Indicators, intraoperative monitoring before pneumoperitoneum, pneumoperitoneum in patients with heart rate, blood pressure and other hemodynamic parameters showed no obvious fluctuation(P>0.05), mean airway pressure, pressure of end-tidal carbon dioxide(PetCO₂), Pressure of Oxygen(PaO₂), pressure of carbon dioxide(PaCO₂), PaO₂ wasin pneumoperitoneum after 10 min had an obvious fluctuation(P<0.05). But 30 minutes later, pneumoperitoneum tended to be smooth(P>0.05).

Laparoscopic esophageal hiatal hernia repair after the establishment of pneumoperitoneum hole in operation may have a certain impact on the respiratory cycle index of patients, we need to pay attention to intraoperative anesthesia, ensure anesthesia and the successful completion of the operation.