Technical modification for laparoscopic giant hiatal hernias repair

VernacularTitle:腹腔镜巨大食管裂孔疝修补改良术的临床研究
Author: Xiangyu SUN ; Mingfang QIN ; Yu WU ; Hongzhi ZHAO ; Qili DAI
Publication Type:Journal Article
Keywords: Hernia,hiatal; Laparoscopes; Fundoplication; Mesh
From: Chinese Journal of Digestive Endoscopy 2015;32(11):729-733
CountryChina
Language:Chinese
Abstract: Objective To investigate the safety and efficacy of technical modification for laparoscopic repair of giant hiatal hernias.Methods A total of 49 patients with giant hiatal hernia underwent modified laparoscopic repair by dissecting sac, closing hiatal, mesh placement and fundoplication from June 2010 to May 2014.The operation time, hospitalization time, postoperative complications, upper gastrointestinal imaging and improvement of postoperative symptoms were observed.Results The average operation time was (103.6 ±31.7) min(88-173min).The average length of post operation hospitalization was (4.2 ± 1.8) d (range,3-12d).Postoperative complication occurred in 4 patients,including pleural effusion (1 patient),respiratory failure (1 patient), difficulty in swallowing (2 patients)with complication occurrence rate being 8.2％ (4/49).No conversion or death occurred.The average time of follow-up was (28.3 ± 12.7) months (6-50 months) in 49 cases.During the follow-up, main symptoms were relieved and no recurrence was found by barium swallow.Conclusion Technical modification for laparoscopic repair of giant hiatal hernias is safe and effective.