| 腹腔镜下胃底Nissen折叠术式治疗的食管裂孔疝临床应用 |
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| 引用本文： | 张成,克力木,牛伟亚,凯塞尔,艾克拜尔,于文庆,王志,李义亮. 腹腔镜下胃底Nissen折叠术式治疗的食管裂孔疝临床应用[J]. 中华普外科手术学杂志(电子版), 2010, 4(1): 35-37 |
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| 作者姓名： | 张成 克力木 牛伟亚 凯塞尔 艾克拜尔 于文庆 王志 李义亮 |
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| 作者单位： | 新疆自治区人民医院微创外科、疝和腹壁外科,乌鲁木齐,830001 |
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| 基金项目： | 新疆卫生厅青年科学基金资助项目(编号:2007Y37) |
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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安全性和疗效评价。方法对38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360°折叠术(Nissen术),9例应用补片修补疝缺口,29例采用7号丝线缝合。结果38例腹腔镜食管裂孔疝修补术全部获得成功。手术时间30～190min,平均手术时间110min,失血10～50ml;术后24～48h进流质饮食,无术后并发症;术后平均住院5.7d。结论腹腔镜下胃底Nissen折叠术式具有疗效好、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： | 腹腔镜检查 疝 食管裂孔 胃底折叠术 |
Laparoscopic Nissen fundoplication for the treatment of esophageal hiatal hernia |
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| ZHANG Cheng,Kelimu,NIU Wei-ya,Kaiseier,Akebaier,YU Wen-qing,WANG Zhi,LI Yi-liang. Laparoscopic Nissen fundoplication for the treatment of esophageal hiatal hernia[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Version, 2010, 4(1): 35-37 |
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| Authors: | ZHANG Cheng Kelimu NIU Wei-ya Kaiseier Akebaier YU Wen-qing WANG Zhi LI Yi-liang |
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| Affiliation: | ZHANG Cheng,Kelimu,NIU Wei-ya,Kaiseier,Akebaier,YU Wen-qing,WANG Zhi,LI Yi-liang. Department of Laparoscopic Surgery,Xinjiang Provincial People's Hospital,Urumuqi 830001,China |
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| Abstract: | Objective To investigate the efficacy and safety of laparoscopic repair of paraesophageal hernia.Mehods Thirty-eight patients underwent laparoscopic repair of paraesophageal hernia and all of them had laparoscopic Nissen fundoplication.Results Laparoscopic repair of paraesophageal hernia was completely successful in all the 38 patients.The average operative time was 110 minutes(30-90 min),and blood loss was between 10-50 ml.Postoperative oral feedings were resumed 24-48 hours after surgery,and no postoperat... |
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| Keywords: | Laparoscopy Hernia hiatal Fundoplication |
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