腹腔镜手术治疗食管裂孔疝及胃食管反流性疾病的临床体会

目的:探讨腹腔镜手术治疗食管裂孔疝及胃食管反流性疾病的临床疗效及安全性。方法:回顾分析2009年1月至2012年11月36例食管裂孔疝及胃食管反流性疾病患者的临床资料,20例行腹腔镜手术(腹腔镜组),16例行开腹手术(开腹组)。观察两组患者手术时间、术中出血量、术后住院时间、术后抗生素使用时间、术后胃肠道功能恢复时间及术后并发症。结果:腹腔镜组手术时间、术中出血量、术后住院时间、术后抗生素使用时间、术后胃肠道功能恢复时间及术后并发症发生率均显著优于开腹组(P<0.05)。结论:腹腔镜手术治疗食管裂孔疝及胃食管反流性疾病安全、可靠,具有广阔的临床应用前景。

Clinical experiences on treating hiatal hernia and gastroesophageal reflux diseases by laparoscopy

Objective:To evaluate the efficacy and safety of laparoscopic treatment for hiatal hernia and gastroesophageal reflux diseases.Methods:The clinical data of 36 patients who underwent laparoscopic surgery(n=20) and laparotomy(n=16) for hiatal hernia and gastroesophageal reflux disease from Jan.2009 to Nov.2012 were analyzed retrospectively.The operation time,intraoperative blood loss,postoperative hospital stay,periods of antibiotic use,postoperative gastrointestinal functional recovery time and postoperative complications were served as observational indicators.Results:Twenty patients were treated by laparoscopic operation(55.6%) and 16 patients were treated by open surgery(44.4%).The laparoscopic group showed more advantages over open group on operation time,intraoperative blood loss,postoperative hospital stay,periods of antibiotic use,postoperative gastrointestinal functional recovery time and postoperative complications(P<0.05).Conclusions:Laparoscopic treatment for hiatal hernia and gastroesophageal reflux diseases is safe and reliable,it has wide prospect of clinical application.