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腹腔镜下应用补片治疗食管裂孔疝3例
引用本文:许东,吴硕东,苏洋,李兰瑛. 腹腔镜下应用补片治疗食管裂孔疝3例[J]. 世界华人消化杂志, 2009, 17(18)
作者姓名:许东  吴硕东  苏洋  李兰瑛
作者单位:中国医科大学附属盛京医院第一微创、胆道外科,辽宁省沈阳市,110004;中国医科大学附属盛京医院第一微创、胆道外科,辽宁省沈阳市,110004;中国医科大学附属盛京医院第一微创、胆道外科,辽宁省沈阳市,110004;中国医科大学附属盛京医院第一微创、胆道外科,辽宁省沈阳市,110004
摘    要:目的:探讨腹腔镜下应用补片修补食管裂孔疝的临床价值.方法:2007-07/2008-05我科行腹腔镜联合补片术治疗食管裂孔疝患者3例. 分析患者手术时间、术中失血量以及术后并发症, 并随访6-12mo.结果:3例患者手术顺利, 无中转开腹或开胸,手术时间分别为155、120、130 min, 术中失血量分别为50、50、70 mL, 3例患者术后第2天排气并进流质饮食, 术后第7天出院, 术后3 mo内3例患者临床症状完全消失, 随访6-12mo, 无复发病例.结论:腹腔镜下应用补片治疗食管裂孔疝临床疗效显著, 值得推广应用.

关 键 词:食管裂孔疝  补片  腹腔镜

Laparoscopic repair of paraesophageal hernia with patch application: an analysis of 3 cases
Dong Xu,Shuo-Dong Wu,Yang Su,Lan-Ying Li. Laparoscopic repair of paraesophageal hernia with patch application: an analysis of 3 cases[J]. World Chinese Journal of Digestology, 2009, 17(18)
Authors:Dong Xu  Shuo-Dong Wu  Yang Su  Lan-Ying Li
Abstract:AIM: To investigate the clinical value of laparoscopic repair of paraesophageal hernia using a patch. METHODS: Three patients underwent the procedure during July 2007 to May 2008. We analyzed their operation time, blood loss and the complications as well as follow up. RESULTS: Operations were successful with no conversion to open surgery. The operation time was 155, 120 and 130 min; the blood loss was 50, 50 and 70 mL. Every patient regained bowel activities and resumed fluid diet the day after the procedure, then was discharged after 7 d. Clinical symptoms of 3 patients disappeared within 3 mo and follow ups (6-12 mo) showed no relapse. CONCLUSION: Laparoscopic repair of paraesophageal hernia with patch application is a safe and effective procedure.
Keywords:Paraesophageal hernia  Patch  Laparoscopic
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