腹腔镜食管裂孔疝修补术143例临床分析

目的 探讨腹腔镜手术治疗食管裂孔疝的可行性和临床应用价值。 方法 对2001年6月至2010年2月天津市南开医院143例食管裂孔疝行腹腔镜食管裂孔疝修补术的资料进行分析。 结果 143例均完成腹腔镜手术，无中转开腹病例，手术时间55～210min，平均86 min；术中出血量40～150mL，平均76mL；术后住院时间3～21d，平均4.6d。术后临床症状均得到缓解，无严重并发症及死亡病例。134例得到随访，随访时间3个月至9年，平均3.8年，手术结果满意率91.67%。8例进固体食物时有轻度哽噎感，5例反酸症状复发，其中4例应用抑酸药物后可控制，1例行开腹手术治疗。结论 腹腔镜治疗食管裂孔疝，充分体现了手术创伤小、恢复快、安全可行、疗效可靠的特点。

Laparoscopic hiatal hernia repair:a clinical analysis of 143 cases

Objective To explore the feasibility and clinical value of laparoscopic surgery in treating patients with hiatal hernia.Methods From June 2001 to February 2010,143 cases of hiatal hernia were enrolled to undertake laparoscopic hiatal hernia repair at Nankai Hospital of Tianjin City.Laparoscopic fundoplication was performed concomitantly in some cases if appropriate.Paraoperative clinical parameters were recorded and analyzed.All cases were followed up routinely.Clinical outcomes were collected and analyzed....