Laparoscopic repair for hiatal hernia: report of 992 cases in a single center

VernacularTitle:单中心腹腔镜食管裂孔疝修补术992例
Author: Feng WANG ; Jimin WU ; Zhonggao WANG ; Zhiwei HU ; Xiulan ZHAN ; Changrong DENG
Publication Type:Journal Article
Keywords: Hernia,hiatal; Herniorrhaphy; Fundoplication; Laparoscopes
From: Chinese Journal of General Surgery 2016;31(9):732-735
CountryChina
Language:Chinese
Abstract: Objective To evaluate the effectiveness and complications of laparoscopic repair for hiatal hernia.Methods The clinical data of 992 patients with hiatal hernia undergoing laparoscopic repair from Jan 2008 to June 2014 were collected and analyzed.Postoperative symptom scores,postoperative complications,recurrence rate and satisfaction were evaluated.Results 858 cases were followed up,including type Ⅰ HH accounting for 79.8％,type Ⅱ for 1.3％,type Ⅲ for 17.1％,type Ⅳ for 1.8％ respectively.HH repaired with mesh in 520 cases.The overall improvement rate was 96.2％.Postoperative symptom scores significantly decreased.Recurrence of anatomy and symptoms were 31 and 15 cases respectively.Short-term and long-term of postoperative complications were 35.8％ and 5.6％ respectively.Excellent,fair and poor result were achieved in 91.8％,4.3％,3.9％ of postoperatively follow-up cases,respectively.Conclusion The laparoscopic approach for repair of hiatal hernias is of minimally invasive,lower recurrence rate,less complications and high satisfaction.