| 腹腔镜下Toupet胃底折叠术式治疗食管裂孔疝的临床应用 |
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| 引用本文： | 克力木,张成,牛伟亚.腹腔镜下Toupet胃底折叠术式治疗食管裂孔疝的临床应用[J].国际外科学杂志,2009,36(9). |
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| 作者姓名： | 克力木 张成 牛伟亚 |
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| 作者单位： | 新疆自治区人民医院腔镜外科,乌鲁木齐,830001 |
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| 基金项目： | 新疆卫生厅青年科学基会资助项目 |
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| 摘 要： | 目的 探讨使用腹腔镜行食管裂孔疝修补术的疗效和安全性.方法 对61例食管裂孔疝患者使用腹腔镜行食管裂孔疝修补术,做胃底270°部分折叠术(Toupet术),19例应用补片修补疝缺口,42例采用直接线缝合.结果 61例腹腔镜食管裂孔疝修补术全部获得成功.手术时间30～190 rain,平均手术时间110 min,失血10～50 mL;术后24～48 h进流质饮食,无术后并发症;术后平均住院5.7 d.结论 61例患者的反酸症状均在24 h内缓解,术后停用抗酸药物,修补术具有疗效确定、安全和创伤小的优点,值得进一步推广应用.
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| 关 键 词： | 腹腔镜 食道裂孔疝修补 |
Laparoscopic repair of paraesophageal hernia |
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| KE Li-Mu,ZHANG Cheng,NIU Wei-Ya.Laparoscopic repair of paraesophageal hernia[J].International Journal of Surgery,2009,36(9). |
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| Authors: | KE Li-Mu ZHANG Cheng NIU Wei-Ya |
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| Abstract: | Objective To investigate the efficacy and safety of laparoscopic repair of paraesophageal her-nia. Methods Sixty-one patients underwent laparoscopic repair of paraesophageal hernia, all having laparo-scopic Toupet fundoplication. Results Laparoscopic repair of paraesophageal hernia was completed success-fully in all the 61 patients. The average operation time was 110 min and the blood loss 10～50 ml. Postopera-tive oral feedings were resumed 24～48 h after surgery, and no postoperative complication occurred. The me-dian postoperative hospital stay was 5.7 d. Conclusion Laparoscopic repair of paraesophageal hernia is an effective and safe surgical procedure of minimal invasion. |
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| Keywords: | laparoscopy paraesophageal hernia repair fundoplication |
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