Abstract:
Objective To evaluate the clinical value of the method of surgical treatment in patients with sliding esophageal hiatal hernia by laparoscopy via pneumoperitoneum and non-pneumoperitoneum through abdominal wall lifting.
Methods The clinical data of 17 cases of laparoscopic esophageal hiatal hernia repair combined with and gastric folding via pneumoperitoneum and non-pneumoperitoneum through abdominal wall lifting was collected between May 2012 and May 2014, including 15 cases of Nissen operation and, 2 cases of Toupet operation.
Results Surgeries in all patients were successfully completed, no transferring laparotomy, the average operation time was 45 to 220 minutes, intraoperative blood loss was less than 50 ml, there were no postoperative complications, all patients were cured and discharged, and the average hospitalization time was 10 days. Follow-up period was between 1 to 24 months. Clinical symptoms in 16 patients disappeared completely, and clinical symptoms in 1 case partly relieved, with no relapsed case.
Conclusion Sliding esophageal hiatal hernia by laparoscopy via pneumoperitoneum and non-pneumoperitoneum through abdominal wall lifting is a safe and effective surgical treatment, and has wide value of popularization.
Key words:
Hernia, hiatus,
Herniorrhaphy,
Fundoplication,
Laparoscope,
Abdominal wall lifting
Baoxun Zhang, Jixiang Wu, Jian Jiang, Tao Yu, Lei Yu, Jianye Li. Seventeen cases of analysis of efficacy for sliding esophageal hiatal hernia by laparoscopy via pneumoperitoneum and non-pneumoperitoneum through abdominal wall lifting[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2014, 01(01): 24-27.