To compare and analyze the clinical efficacy of 3D and 2D laparoscopic hiatal hernia repair combined with Nissen fundoplication.

A retrospective analysis on 32 patients who underwent repairing operation of hiatal hernia with Nissen fundoplication in with laparoscopic, including 3D laparoscopic group(3D group)15 cases and 2D laparoscopic group(2D group)17 cases from September 2014 to August 2016 in the People′s Hospital of Xinjiang Uygur Autonomous Region and.

Two groups of patients were performed by successful surgery and did not complain about any perioperative complications.We found no significant difference in age, gender or BMI(P>0.05). The total operative time of 3D laparoscopic surgery was significantly shorter [(72.3+ 20.5)minutes vs(98.1+ 22.9)minutes, P=0.007]And the intraoperative bleeding was significantly less [(128.9+ 39.2)ml vs(152.8+ 41.5)ml, P=0.034]. The time for laparoscopic Nissen fundoplication [(10.3+ 2.5)minutes vs(11.1+ 2.9)minutes, P=0.077], patch-suturing time [(9.3+ 1.8)minutes vs(10.1+ 2.2)minutes, P=0.057], hospitalization time [(4.8+ 1.7)days vs(5.2+ 2.2)days, P=0.736]and postoperative complication rate in 3D and 2D groups showed no significant difference(P>0.05).

3D laparoscopic hiatal hernia repairing combined with Nissen fundoplication, which has obvious advantages in spatial location and the depth feeling, contributes to the delicate handling for hiatal hernia repair.3D operation is significantly shorter in total operative time and less bleeding, worthes clinical aplication.