To explore the feasibility, clinical application value and safety of laparoscopic surgery in treating patients with esophageal hiatal hernia.

The clinical data of 20 cases of esophageal hiatal hernia who were enrolled to undertake laparoscopic hiatal hernia repair and fundoplication at our hospital were retrospectively analyzed from March 2012 to September 2017, then we value their clinical results and prognosis.

All 20 cases of laparoscopic operations were accomplished successfully and no conversions were needed, including 16 cases of Nissen operation, 4 cases of Toupet operation,20 cases of hernia repaired with non-absorbable suture, 7 cases repaired with U Soft Mesh.Mean operation time was 150 minutes (range: 95~180 minutes). Mean intraoperative blood lose was 40ml (range: 30~70 ml).Liquid diets were taken in after 24~48 hours of surgery. Clinical symptoms were effectively relieved in all cases and no mortality and severe complications were noted. Mean postoperative hospital stay were 4.1 days (range: 3~7days). 20 cases were all followed up, and mean follow up period was 2.6 years (range: 3 months to 5 years), there were no cases who dead and with anatomic recurrence, the rate of satisfaction for operation was 95.0%.

Minimally invasive laparoscopic surgery for esophageal hiatal hernia has the obviously advantages of minimal trauma, fast recovery, safe, high reliability and generalizable value.