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.