Laparoscopic hiatal hernia repair plus fundoplication for gastroesophageal reflux disease: report of 206 cases
10.3760/cma.j.cn113855-20190824-00492
- VernacularTitle:腹腔镜食管裂孔疝修补联合胃底折叠治疗胃食管反流206例
- Author:
Jiye ZHANG
1
;
Zhifei WANG
;
Junwei LIU
;
Yi LU
;
Kai JIANG
;
Lanlan ZHANG
Author Information
1. 浙江中医药大学第二临床医学院，杭州 310053；浙江省人民医院(杭州医学院附属人民医院)肝胆胰及微创外科/胃食管反流中心，杭州 310014
- From:
Chinese Journal of General Surgery
2020;35(3):207-210
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of laparoscopic hiatal hernia repair plus fundoplication on gastroesophageal reflux disease (GERD).Methods:The clinical data of 206 GERD patients with esophageal hiatal hernia treated by laparoscopic esophageal hiatal hernia repair + fundoplication at the gastroesophageal reflux center of Zhejiang People′s Hospital from Jan 2016 to Jun 2019 was retrospectively analyzed, including basic data, symptom score, auxiliary examination and follow-up.Results:All 206 patients underwent laparoscopic anti-reflux surgery successfully. There was no conversion to open surgery and no death. Preoperative Deemester scores were 46.49±37.42, while Deemester score 6 month after surgery were 6.38±4.69.Mean follow-up time was 15 months and good result were achieved in 98% of follow-up cases.Conclusion:Laparoscopic repair plus fundoplication for GERD is of minimally invasive and satisfactory, while the preoperative evaluation of surgical indications is properly conducted.
