腹腔镜胃底折叠术治疗胃食管反流病

目的探讨腹腔镜胃底折叠术治疗胃食管反流病的临床效果。方法2008年1月-2011年11月对40例胃食管反流病行腹腔镜胃底折叠术。腹腔镜单纯胃底折叠术7例（Toupt式），腹腔镜食管裂孔疝修补加胃底折叠术33例（Nissen式5例，Toupet式28例）。结果手术均获成功，无中转开腹及死亡病例，无术后严重并发症。手术时间75～215min，平均112min；术中出血量10-350ml，平均52ml；术后住院5—10d，平均7d。40例术后随访1—24个月，平均16个月，34例临床症状完全消失，6例症状明显好转。结论腹腔镜胃底折叠术治疗胃食管反流病疗效满意。

Laparoscopic Fundoplication for Gastroesophageal Reflux Disease

Objective To explore the efficacy of laparoseopic fundoplication for the treatment of gastroesophageal reflux disease （GERD）. Methods From January 2008 to November 2011, we performed laparoscopic fundoplication on 40 patients with GERD. Among the cases, simple fundoplication （Toupt） was carried out in 7, and fundoplication combined with laparoscopic hiatal herniorraphy was performed on the other 33 （ Nissen in 5 and Toupet in 28）. Results The procedures were completed successfully in all the cases without conversion to open surgery, severe postoperative complications or death. The mean operation timewas 112 rain （75 -215 rain） , and intraoperative blood loss was 52 ml in average （10 -350 ml）. The patients were discharged in 5 - 10 days after the surgery （mean, 7 days） , and then were followed up for 1 -24 months （mean, 16 months）. During the follow-up, 34 patients were cured with all symptoms disappeared, and the other 6 were improved. Conclusion Laparoscopic fundoplication is an effective procedure for GERD with minimal invasion, high safety and quick recovery.