腹腔镜疝修补联合胃底折叠治疗胃食管反流病25例临床分析

doi:10.3877/cma.j.issn.1674-392X.2021.02.003

中华疝和腹壁外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (02) : 128 -130. doi: 10.3877/cma.j.issn.1674-392X.2021.02.003

所属专题：经典病例；文献；

临床论著

腹腔镜疝修补联合胃底折叠治疗胃食管反流病25例临床分析

孙明明¹, 韩富华¹, 胡根¹, 黄建明¹, 邵国益¹^,^†(

), 李俊生²

^1. 214400　江苏江阴，东南大学附属江阴医院胃肠外科
^2. 210009　南京，东南大学附属中大医院普外科

收稿日期:2020-12-18 出版日期:2021-04-18
通信作者: 邵国益

Laparoscopic hernia repair combined with fundoplication for gastroesophageal reflux disease: A clinical analysis of 25 patients

Mingming Sun¹, Fuhua Han¹, Gen Hu¹, Jianming Huang¹, Guoyi Shao¹^,^†(), Junsheng Li²

^1. Departement of Gastrointestinal Surgery, Affiliated JiangYin Hospital, Southeast University, Jiangyin, Jiangyin 214400, China
^2. Departement of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing 210009, China

Received:2020-12-18 Published:2021-04-18
Corresponding author: Guoyi Shao

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目的

探讨腹腔镜疝修补联合胃底折叠治疗胃食管反流病的疗效。

方法

回顾性分析2017年1月至2020年5月，东南大学附属江阴医院完成的25例腹腔镜疝修补+胃底折叠治疗胃食管反流患者的临床数据，包括基本资料、手术指标、术后并发症及随访调查。

结果

25例腹腔镜抗反流手术（食管裂孔疝修补+胃底折叠术）均顺利完成，手术时间（168.5±41.1）min，术中出血量（26.0±20.3）ml，术后住院时间（4.8±1.9）d，术后1例出现反酸。25例患者随访时间为6～36个月，随访率100%，22例患者临床症状完全消失，3例偶有反酸、烧心，无复发病例。

结论

腹腔镜疝修补联合胃底折叠治疗胃食管反流安全有效、满意度高，值得临床推荐。

关键词: 食管裂孔疝, 胃食管反流, 疝修补术, 胃底折叠, 腹腔镜

Objective

To explore the effect of laparoscopic hernia repair combined with fundoplicationon gastroesophageal reflux disease.

Methods

The clinical data of 25 patients with gastroesophageal reflux disease undergoing laparoscopic hernia repair plusfundoplication from January 2017 to May 2020 in Jiangyin hospital were retrospectively analyzed, including basic information, surgical indicators, postoperative complications and follow-up investigation.

Results

25 cases of laparoscopic anti-reflux surgery (hiatal hernia repair plus fundoplication) were successfully completed. The operation time was (168.5±41.1) minutes, the intraoperative blood loss was (26.0±20.3) ml, and the postoperative hospital stay was (4.8±1.9) days. One case had acid reflux after operation. The follow-up time of 25 patients was 6 to 36 months, and the follow-up rate was 100%. The clinical symptoms of 22 patients disappeared completely, and 3 patients had occasional acid reflux and heartburn. There were no recurrences.

Conclusion

Laparoscopic hernia repair combined with fundoplication on gastroesophageal reflux is safe and effective, with high satisfaction, and is worthy of clinical recommendation.

Key words: Hernia, Gastroesophageal reflux, Hernia repair, Fundoplication, Laparoscopy

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