Experience in cooperation between laparoscopic repair of esophageal hiatus hernia and cholecystectomy

doi:10.3877/cma.j.issn.2095-8765.2024.02.010

Abstract

Abstract:

Objective

To summarize and analyze the application effect of integrated medical care mode in laparoscopic hiatus hernia repair combined with cholecystectomy.

Methods

A total of 100 patients who underwent laparoscopic hiatus hernia repair and cholecystectomy in the operating room of the People’s Hospital of Xinjiang Uygur Autonomous Region from August 2020 to August 2022 were selected as the study subjects. The control group was treated with routine nursing methods in the operating room, and the intervention group was treated with integrated nursing mode based on routine nursing of the control group. The average operation duration, intraoperative blood loss, average length of stay, incidence of adverse events in operating room nursing, and patient satisfaction were compared between the two groups.

Results

In control group, the mean operation duration was (106.94±23.00)min, the amount of intraoperative blood loss was (49.8±26.15)ml, and the mean hospital stay was (6.52±1.07)d. In the intervention group, the mean operation duration was (93.84±7.13)min, the amount of intraoperative blood loss was (39.00±12.98)ml, and the mean hospital stay was (5.94±0.87)d, with statistical significance (P<0.05). The incidence of adverse events in operating room nursing was 14.0% and nursing satisfaction was 90.0% in control group, and 2.0% and 94.0% in observation group, respectively, with statistical significance (P<0.05).

Conclusion

The integrated medical care mode is feasible and safe in laparoscopic hiatus hernia repair and cholecystectomy. The good coordination of intraoperative medical care can shorten the operation time, with high safety and good efficacy, and can also meet the postoperative aesthetic needs to a certain extent, which is worthy of clinical application and promotion.

Key words: Laparoscopy, Esophageal hiatal hernia, Cholecystectomy, Surgical cooperation, Combined surgery

Qi Han, Jianhui Ma, Shaoling Li. Experience in cooperation between laparoscopic repair of esophageal hiatus hernia and cholecystectomy[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2024, 11(02): 110-114.

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References 17

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组别	例数	性别[例（%）]		年龄（岁，±s）	体质量（kg, ±s）	麻醉分级[例（%）]
组别	例数	男性	女值	年龄（岁，±s）	体质量（kg, ±s）	Ⅱ级	Ⅲ级
对照组	50	30（60.00）	20（40.00）	51.09±6.18	57.72±5.79	23（46.00）	27（54.00）
观察组	50	28（56.00）	22（44.00）	51.68±6.53	56.69±6.32	26（52.00）	24（48.00）
统计值		0.16		-0.62	1.25	0.36
P值		0.69		0.54	0.10	0.55

组别	例数	性别[例（%）]		年龄（岁，±s）	体质量（kg, ±s）	麻醉分级[例（%）]
组别	例数	男性	女值	年龄（岁，±s）	体质量（kg, ±s）	Ⅱ级	Ⅲ级
对照组	50	30（60.00）	20（40.00）	51.09±6.18	57.72±5.79	23（46.00）	27（54.00）
观察组	50	28（56.00）	22（44.00）	51.68±6.53	56.69±6.32	26（52.00）	24（48.00）
统计值		0.16		-0.62	1.25	0.36
P值		0.69		0.54	0.10	0.55

组别	例数	平均手术时间(min)	术中出血量(ml)	平均住院时间（d）
对照组	50	106.94±23.00	49.8±26.15	6.52±1.07
观察组	50	93.84±7.13	39.00±12.98	5.94±0.87
统计值		3.847	2.616	2.972
P		<0.001	0.01	0.004

组别	例数	平均手术时间(min)	术中出血量(ml)	平均住院时间（d）
对照组	50	106.94±23.00	49.8±26.15	6.52±1.07
观察组	50	93.84±7.13	39.00±12.98	5.94±0.87
统计值		3.847	2.616	2.972
P		<0.001	0.01	0.004

组别	例数	不良事件发生		护理满意度
组别	例数	是	否	非常满意	满意	不满意	护理满意度
对照组	50	7（14.0）	43（86.0）	15（30.0）	30（60.0）	5（10.0）	45（90.0）
观察组	50	1（2.0）	49（98.0）	32（64.0）	15（30.0）	3（6.0）	47（94.0）
统计值		4.891					11.649
P		0.027					0.003

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