切换至 "中华医学电子期刊资源库"

中华疝和腹壁外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 485 -490. doi: 10.3877/cma.j.issn.1674-392X.2024.05.002

综述

胃底折叠术预防食管裂孔疝术后并发症的研究进展
李海云1, 赵敏娴1, 申英末1, 杨慧琪1,()   
  1. 1.100043 首都医科大学附属北京朝阳医院疝和腹壁外科
  • 收稿日期:2024-01-06 出版日期:2024-10-18
  • 通信作者: 杨慧琪
  • 基金资助:
    北京市卫生健康委员会首都卫生发展科研专项(自主创新)(首发2020-2-2035)

Research progress of fundoplication in preventing postoperative complications of hiatal hernia

Haiyun Li1, Minxian Zhao1, Yingmo Shen1, Huiqi Yang1,()   

  1. 1.Department of Hernia and Abdominal Wall Surgery,Beijing Chao Yang Hospital, Capital Medical University, Beijing 100043, China
  • Received:2024-01-06 Published:2024-10-18
  • Corresponding author: Huiqi Yang
引用本文:

李海云, 赵敏娴, 申英末, 杨慧琪. 胃底折叠术预防食管裂孔疝术后并发症的研究进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 485-490.

Haiyun Li, Minxian Zhao, Yingmo Shen, Huiqi Yang. Research progress of fundoplication in preventing postoperative complications of hiatal hernia[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(05): 485-490.

食管裂孔疝的外科治疗通常采用疝修补术联合胃底折叠术的方式,恰当的胃底折叠术能有效预防胃食管反流病的发生。胃底折叠方式的选择目前没有统一的定论,外科医生通常根据经验和偏好选择相应的胃底折叠术。其中以Nissen 胃底折叠术最多见,但是存在术后吞咽困难、腹胀等并发症。随着微创观念的发展,近年也出现了多种创伤更小、更符合生理结构的胃底折叠术,供医生和患者选择。本文对比了多种胃底折叠术的优缺点,对胃底折叠术预防食管裂孔疝术后并发症的前沿研究及新进展进行系统综述。

The surgical treatment of hiatal hernia usually adopts hernia repair combined with fundoplication. Proper fundoplication can effectively prevent gastroesophageal reflux disease. The choice of fundoplication is not unanimous, and surgeons usually choose fundoplication according to their experience and preference. Nissen fundoplication is the most common, but the postoperative complications such as dysphagia and bloating caused by Nissen fundoplication are distressing. With the development of the concept of minimally invasive surgery, a variety of fundoplications with smaller trauma and more physiological structure have been invented in recent years for doctors and patients to choose from. In this review, the advantages and disadvantages of fundoplication were compared, and the advanced research and new progress of fundoplication in preventing postoperative complications of hiatal hernia were reviewed systematically.

图1 食管裂孔腔镜所见
图2 食管裂孔疝修补术
图3 Nissen 胃底折叠术
图4 Toupet 胃底折叠术[27]
图5 Dor 胃底折叠术
[1]
Kohn GP, Price RR, DeMeester SR, et al. Guidelines for the management of hiatal Hernia[J]. Surg Endosc, 2013, 27(12):4409-4428.
[2]
Müller-Stich BP, Achtstätter V, Diener MK, et al. Repair of Paraesophageal Hiatal Hernias-Is a Fundoplication Needed? A Randomized Controlled Pilot Trial[J]. J Am Coll Surg, 2015, 221(2):602-610.
[3]
Tam V, Winger DG, Nason KS. A systematic review and Meta-analysis of mesh vs suture cruroplasty in laparoscopic large hiatal hernia Repair[J]. Am J Surg, 2016, 211(1): 226-238.
[4]
Sasse KC, Warner DL, Ackerman E, et al. Hiatal Hernia Repair with Novel Biological Graft Reinforcement[J]. JSLS, 2016, 20(2): e2016.00016.
[5]
聂玉胜, 熊尧, 杨慧琪, 等. 不同类型补片在食管裂孔疝修补术中应用的研究[J]. 中华普通外科杂志, 2022, 37(2): 104-107.
[6]
范嘉俊, 陶庆松, 丁远, 等. 腹腔镜食管裂孔疝修补术加用补片的临床疗效及预后分析[J]. 华西医学, 2020, 35(3): 322-327.
[7]
Katz PO, Dunbar KB, Schnoll-Sussman FH, et al. ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease[J]. Am J Gastroenterol, 2022, 117(1): 27-56.
[8]
Laan DV, Agzarian J, Harmsen WS, et al. A comparison between Belsey Mark IV and laparoscopic Nissen fundoplication in patients with large paraesophageal Hernia[J]. J Thorac Cardiovasc Surg,2018, 156(1): 418-428.
[9]
DeMeester SR. Laparoscopic Hernia Repair and Fundoplication for Gastroesophageal Reflux Disease[J]. Gastrointest Endosc Clin N Am,2020, 30(2): 309-324.
[10]
Andolfi C, Plana A, Furno S, et al. Paraesophageal Hernia and Reflux Prevention: Is One Fundoplication Better than the Other?[J]. World J Surg, 2017, 41(10): 2573-2582.
[11]
Nikolic M, Matic A, Kristo I, et al. Additional fundophrenicopexia,after Nissen fundoplication, reduces postoperative dysphagia and re-operation rate in the long-term follow Up[J]. Surg Endosc, 2022,36(5): 3019-3027.
[12]
Parsak CK, Halvacı İ, Topal U. “Comparison of Nissen Rossetti and Floppy Nissen techniques in laparoscopic reflux Surgery”[J]. Ann Med, 2023, 55(1): 1000-1008.
[13]
胡志伟, 吴继敏, 汪忠镐, 等. 腹腔镜新型W-H 胃底折叠术治疗质子泵抑制剂依赖性胃食管反流病疗效分析[J]. 中华医学杂志,2021, 101(10): 737-743.
[14]
Rampado S, Savarino E, Ganss A, et al. A modified Nissen fundoplication: Subjective and objective midterm Results[J].Langenbecks Arch Surg, 2018, 403(2): 279-287.
[15]
Bardini R, Rampado S, Salvador R, et al. A modification of Nissen fundoplication improves patients’ outcome and may reduce procedure-related failure Rate[J]. Int J Surg, 2017, 38: 83-89.
[16]
Slater BJ, Rothenberg SS. Fundoplication[J]. Clin Perinatol, 2017,44(4): 795-803.
[17]
Schlottann F, Nurczyk K, Patti MG. Laparoscopic Nissen Fundoplication: How I Do It?[J]. J Laparoendosc Adv Surg Tech A,2020, 30(6): 639-641.
[18]
Marshall-Webb M, Peters MD J, Bright T, et al. Effectiveness of Nissen fundoplication versus anterior and posterior partial fundoplications for treatment of Gastro-esophageal reflux disease: A systematic review Protocol[J]. JBI Database System Rev Implement Rep, 2018, 16(5): 1095-1102.
[19]
Huerta CT, Plymale M, Barrett P, et al. Long-term efficacy of laparoscopic Nissen versus Toupet fundoplication for the management of types III and IV hiatal Hernias[J]. Surg Endosc,2019, 33(9): 2895-2900.
[20]
Walle KV, Funk LM, Xu Y, et al. Persistent Dysphagia Rate After Antireflux Surgery is Similar for Nissen Fundoplication and Partial Fundoplication[J]. J Surg Res, 2019, 235: 52-57.
[21]
Hoshino M, Omura N, Yano F, et al. Comparison of laparoscopic Nissen and Toupet fundoplication using a propensity score matching Analysis[J]. Surg Today, 2017, 47(10): 1195-1200.
[22]
Rebecchi F, Allaix ME, Cinti L, et al. Comparison of the outcome of laparoscopic procedures for GERD[J]. Updates Surg, 2018, 70(3):315-321.
[23]
Du X, Hu Z, Yan C, et al. A Meta-analysis of long follow-up outcomes of laparoscopic Nissen(total) versus Toupet(270°)fundoplication for gastro-esophageal reflux disease based on randomized controlled trials in Adults[J]. BMC Gastroenterol, 2016,16(1): 88.
[24]
McKellar SH, Allen MS, Cassivi SD, et al. Laparoscopic Conversion From Nissen to Partial Fundoplication for Refractory Dysphagia[J].Ann Thorac Surg, 2011, 91(3): 932-934.
[25]
Schwameis K, Zehetner J, Rona K, et al. Post-Nissen Dysphagia and Bloating Syndrome: Outcomes After Conversion to Toupet Fundoplication[J]. J Gastrointest Surg, 2017, 21(3): 441-445.
[26]
赵凯. 腹腔镜食管裂孔疝修补术中不同胃底折叠术式术后吞咽困难的比较[D]. 天津: 天津医科大学, 2017.
[27]
王存川. 普通外科腹腔镜手术彩色图谱[M]. 北京:科学出版社,2005.
[28]
Lal P, Shah SH, Leekha N, et al. Laparoscopic Anterior Partial Fundoplication is Comparable With Nissen Fundoplication for Gastroesophageal Reflux Disease[J]. Surg Laparosc Endosc Percutan Tech, 2017, 27(1): 24-29.
[29]
Wijnhoven BP, Watson DI, Devitt PG, et al. Laparoscopic Nissen fundoplication with anterior versus posterior hiatal repair: Long-term results of a randomized Trial[J]. Am J Surg, 2008, 195(1): 61-65.
[30]
Trepanier M, Dumitra T, Sorial R, et al. Comparison of Dor and Nissen fundoplication after laparoscopic paraesophageal hernia Repair[J]. Surgery, 2019, 166(4): 540-546.
[31]
Roks DJ, Koetje JH, Oor JE, et al. Randomized clinical trial of 270°posterior versus 180° anterior partial laparoscopic fundoplication for gastro-oesophageal reflux Disease[J]. Br J Surg, 2017, 104(7):843-851.
[32]
Oor JE, Broeders JA, Roks DJ, et al. Reflux and Belching after Laparoscopic 270 degree Posterior Versus 180 degree Anterior Partial Fundoplication[J]. J Gastrointest Surg, 2018, 22(11): 1852-1860.
[33]
Champion JK. Thoracoscopic Belsey fundoplication with 5-year Outcomes[J]. Surg Endosc, 2003, 17(8): 1212-1215.
[34]
Mayor MA, Fernando HC. Endoluminal Approaches to Gastroesophageal Reflux Disease[J]. Thorac Surg Clin, 2018, 28(4): 527-532.
[35]
Chang KJ, Bell R. Transoral Incisionless Fundoplication[J].Gastrointest Endosc Clin N Am, 2020, 30(2): 267-289.
[36]
Gisi C, Wang K, Khan F, et al. Efficacy and patient satisfaction of Single-session transoral incisionless fundoplication and laparoscopic hernia Repair[J]. Surg Endosc, 2021, 35(2): 921-927.
[37]
Ganz RA. A Modern Magnetic Implant for Gastroesophageal Reflux Disease[J]. Clin Gastroenterol Hepatol, 2017, 15(9): 1326-1337.
[38]
Skubleny D, Switzer NJ, Dang J, et al. LINX® magnetic esophageal sphincter augmentation versus Nissen fundoplication for gastroesophageal reflux disease: A systematic review and meta-Analysis[J]. Surg Endosc, 2017, 31(8): 3078-3084.
[39]
Schneider AM, Aye RW, Wilshire CL, et al. Tri-comparison of Laparoscopic Nissen, Hill, and Nissen-Hill Hybrid Repairs for Uncomplicated Gastroesophageal Reflux Disease[J]. J Gastrointest Surg, 2017, 21(3): 434-440.
[40]
Aye RW, Baison GN, Ahmed H, et al. The Nissen-Hill Hybrid Repair: Experience With the First 500[J]. Ann Surg, 2022, 276(4):626-634.
[1] 奚玲, 仝瀚文, 缪骥, 毛永欢, 沈晓菲, 杜峻峰, 刘晔. 基于肌少症构建的造口旁疝危险因素预测模型[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 48-51.
[2] 嵇振岭, 陈杰, 唐健雄. 重视复杂腹壁疝手术并发症的预防和处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 601-606.
[3] 江志鹏, 钟克力, 陈双. 复杂腹壁疝手术后腹腔高压与腹腔间室综合征的预防和处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 612-615.
[4] 王学虎, 赵渝. 复杂腹壁疝手术中血管损伤并发症的预防和处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 616-619.
[5] 曹能琦, 张恒, 郑立锋, 陶庆松, 嵇振岭. Ad-Hoc 自裁剪补片用于造口旁疝Sugarbaker 修补术[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 620-623.
[6] 皮尔地瓦斯·麦麦提玉素甫, 李慧灵, 艾克拜尔·艾力, 李赞林, 王志, 克力木·阿不都热依木. 生物补片修补巨大复发性腹壁切口疝临床疗效分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 624-628.
[7] 马东扬, 李斌, 陆安清, 王光华, 雷文章, 宋应寒. Gilbert 与单层补片腹膜前疝修补术疗效的随机对照研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 629-633.
[8] 林凯, 潘勇, 赵高平, 杨春. 造口还纳术后切口疝的危险因素分析与预防策略[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 634-638.
[9] 王浩源, 汪海洋, 孙建明, 陈以宽, 祁小桐, 唐博. 腹腔镜与开放修补对肝硬化腹外疝患者肝功能及凝血的影响[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 654-659.
[10] 周正阳, 陈凯, 仇多良, 邵乐宁, 吴浩荣, 钟丰云. 腹腔镜腹股沟疝修补术后出血原因分析及处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 660-664.
[11] 顾熙, 徐子宇, 周澍, 张吴楼, 张业鹏, 林昊, 刘宗航, 嵇振岭, 郑立锋. 腹股沟疝腹膜前间隙无张力修补术后补片感染10 例报道[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 665-669.
[12] 宋俊锋, 张珍珍. 单侧初发性腹股沟斜疝老年患者经腹腹膜前疝修补术中残余疝囊腹直肌下缘固定效果评估[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 670-674.
[13] 高娟, 徐建庆, 闫芳, 丁盛华, 刘霞. Rutkow、TAPP、TEP 手术治疗单侧腹股沟疝患者的临床疗效及对血清炎症因子水平的影响[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 675-680.
[14] 于新峰, 曾琦, 后强, 徐浩, 操谢芳. 腹腔镜经腹腹膜前疝修补术和腹腔镜完全腹膜外疝修补术对成人腹股沟疝治疗效果及预后分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 681-686.
[15] 臧宇, 姚胜, 朱新勇, 戎世捧, 田智超. 低温等离子射频消融治疗腹壁疝术后补片感染的临床效果[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 687-692.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?