探讨腹腔镜联合胃镜治疗食管裂孔疝合并胃间质瘤（GST）的临床效果。

回顾性分析2015年3月至2018年3月，黄石市第二医院接受治疗的22例食管裂孔疝合并GST患者临床资料，所有患者均在腹腔镜联合胃镜下行瘤体切除，后在腹腔镜下行食管裂孔疝修补术和胃底折叠术。

所有患者均在腹腔镜联合胃镜下顺利完成手术，无中转开腹病例。平均手术时间（103.1±15.2）min，平均术中出血量（88.7±12.3）ml，平均术后首次肛门排气时间（14.3±3.5）h，平均术后恢复进食时间（1.9±1.1）d，平均住院时间（5.3±1.4）d。术后伤口轻度感染患者1例，其他患者术后均未见胃腔出血、肠管损伤、腹腔感染、食管或胃底溃烂穿孔、食管狭窄等并发症。术后随访10个月，所有患者均未出现复发及远处转移。

腹腔镜联合胃镜治疗食管裂孔疝合并GST手术成功率高，术后并发症少，患者恢复较快，值得临床推广。

To explore the clinical efficacy of laparoscopy combined with gastroscopy for the treatment of esophageal hiatus hernia and gastric stromal tumor (GST).

The clinical data of 22 patients with esophageal hiatal hernia combined with GST who underwent treatment in the second hospital of Huangshi from March 2015 to March 2018 were retrospectively analyzed, all patients underwent laparoscopic combined gastroscopy resection of the tumor, followed by laparoscopic esophageal hernia repair and fundoplication.

All patients underwent successful operation under laparoscopic combined gastroscopy without conversion to open surgery. The average operation time was (103.1±15.2) minutes, the average intraoperative blood loss was (88.7±12.3) ml, the average postoperative anal exhaust time was (14.3±3.5) hours, the average postoperative meal time was (1.9±1.1) days, and the average hospital stay was (5.3±1.4) days. One patient had mild infection after operation, and other patients had no complications such as gastric cavity hemorrhage, intestinal injury, abdominal infection, perforation of esophageal or fundus ulceration and esophageal stricture. No recurrence or distant metastases occurred at 10 months of follow-up.

Laparoscopic combined with gastroscopy for the treatment of esophageal hiatus hernia combined with GST has a high rate of success, less postoperative complications and faster recovery, which is worthy of use in clinic.