腹腔镜抗反流手术术后并发症的处理

目的探讨腹腔镜抗反流手术术后并发症的评估及处理方法。 方法回顾性分析2005年9月至2014年4月，新疆维吾尔自治区人民医院施行腹腔镜抗反流手术725例患者的临床资料，并对并发症患者进行治疗分析。 结果725例患者均成功完成食管裂孔疝修补＋胃底折叠术。术后并发症患者45例，其中吞咽困难21例，食管裂孔疝复发(折叠的胃底疝入胸腔)4例，症状复发14例，胃肠胀气综合征6例。随访6个月至9年，平均36.6个月。 结论腹腔镜抗反流手术并发症的发生率及其后果主要与术前评估、术者经验、围手术期饮食指导和患者的依从性相关。

Treatment of postoperative complications of laparoscopic anti-reflux surgery

ObjectiveDiscuss assessment and treatment of postoperative complications of laparoscopic anti-reflux surgery. MethodsClinical data of 725 patients, underwent laparoscopic hiatal herniorrhaphy and fundoplication from September 2005 to April 2014 in People′s hospital of Xinjiang Uyghur Autonomous Region, were retrospectively analyzed. ResultsLaparoscopic hiatal herniorrhaphy and fundoplication were successfully performed in all 725 patients and were followed up for 6 months to 9 years, mean 36.6 months. 45 cases were found postoperative complications, including 21 cases of dysphagia, 4 cases of recurrent hiatal hernia (gastric wrap herniated into the chest), 14 cases of patients with recurrence of symptoms, 6 patients with gas bloating syndrome. Conclusionincidence rate of postoperative complications of laparoscopic anti-reflux surgery mainly related to preoperative assessment, Surgeons′ experience, perioperative diet instruction and patient compliance.