Laparoscopic hiatal hernia repair plus fundoplication for gastroesophageal reflux disease: report of 206 cases

中华普通外科杂志 Pub Date : 2020-03-25 DOI:10.3760/CMA.J.CN113855-20190824-00492

Jiye Zhang, Zhifei Wang, Junwei Liu, Yi Lu, Kai Jiang, L. Zhang

{"title":"Laparoscopic hiatal hernia repair plus fundoplication for gastroesophageal reflux disease: report of 206 cases","authors":"Jiye Zhang, Zhifei Wang, Junwei Liu, Yi Lu, Kai Jiang, L. Zhang","doi":"10.3760/CMA.J.CN113855-20190824-00492","DOIUrl":null,"url":null,"abstract":"Objective To evaluate the effect of laparoscopic hiatal hernia repair plus fundoplication on gastroesophageal reflux disease (GERD). Methods The clinical data of 206 GERD patients with esophageal hiatal hernia treated by laparoscopic esophageal hiatal hernia repair + fundoplication at the gastroesophageal reflux center of Zhejiang People′s Hospital from Jan 2016 to Jun 2019 was retrospectively analyzed, including basic data, symptom score, auxiliary examination and follow-up. Results All 206 patients underwent laparoscopic anti-reflux surgery successfully. There was no conversion to open surgery and no death. Preoperative Deemester scores were 46.49±37.42, while Deemester score 6 month after surgery were 6.38±4.69.Mean follow-up time was 15 months and good result were achieved in 98% of follow-up cases. Conclusion Laparoscopic repair plus fundoplication for GERD is of minimally invasive and satisfactory, while the preoperative evaluation of surgical indications is properly conducted. Key words: Hernia, hiatal; Herniorrhaphy; Fundoplication; Laparoscopes","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华普通外科杂志","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.CN113855-20190824-00492","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Objective To evaluate the effect of laparoscopic hiatal hernia repair plus fundoplication on gastroesophageal reflux disease (GERD). Methods The clinical data of 206 GERD patients with esophageal hiatal hernia treated by laparoscopic esophageal hiatal hernia repair + fundoplication at the gastroesophageal reflux center of Zhejiang People′s Hospital from Jan 2016 to Jun 2019 was retrospectively analyzed, including basic data, symptom score, auxiliary examination and follow-up. Results All 206 patients underwent laparoscopic anti-reflux surgery successfully. There was no conversion to open surgery and no death. Preoperative Deemester scores were 46.49±37.42, while Deemester score 6 month after surgery were 6.38±4.69.Mean follow-up time was 15 months and good result were achieved in 98% of follow-up cases. Conclusion Laparoscopic repair plus fundoplication for GERD is of minimally invasive and satisfactory, while the preoperative evaluation of surgical indications is properly conducted. Key words: Hernia, hiatal; Herniorrhaphy; Fundoplication; Laparoscopes

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

腹腔镜食管裂孔疝修补加胃底折叠术治疗胃食管反流病206例报告

目的评价腹腔镜食管裂孔疝修补加胃底折叠术治疗胃食管反流病（GERD）的疗效。方法回顾性分析2016年1月至2019年6月在浙江省人民医院胃食管反流中心采用腹腔镜食管裂孔疝修补术+胃底折叠术治疗206例GERD食管裂孔症患者的临床资料，包括基础数据、症状评分、辅助检查和随访。结果206例患者均顺利完成腹腔镜反流手术。没有转为开放手术，也没有死亡。术前Deemester评分为46.49±37.42，术后6个月Deemester得分为6.38±4.69。平均随访时间为15个月，98%的随访病例取得了良好效果。结论腹腔镜下胃食管反流修补术加胃底折叠术是一种微创、满意的手术方法，术前对手术适应证的评估是正确的。关键词：疝，间断；疝修补术；胃底折叠术；腹腔镜

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

中华普通外科杂志

自引率

0.00%

发文量

9825