Clinical analysis of 161 cases of laparoscopic repair for esophageal hiatal hernia
10.3760/cma.j.cn113855-20240312-00182
- VernacularTitle:腹腔镜食管裂孔疝修补术161例临床分析
- Author:
Xiaobing ZHOU
1
;
Hengzheng HE
;
Yan ZHOU
;
Bingxin LI
Author Information
1. 湖南省第二人民医院（湖南省脑科医院）胃食管反流病诊疗中心，长沙 410021
- Publication Type:Journal Article
- Keywords:
Hernia, hiatal;
Laparoscopes;
Biological patch;
Herniorrhaphy
- From:
Chinese Journal of General Surgery
2025;40(9):696-699
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy of laparoscopic biological patch repair combined with gastric fundus folding in the treatment of esophageal hiatal hernia complicated with gastroesophageal reflux disease.Methods:A retrospective analysis was conducted on the clinical data of 161 cases of laparoscopic esophageal hiatal hernia with biological patch repair combined with gastric fundus folding surgery treated at Hunan Second People's Hospital from Jan 2021 to Dec 2022.Results:All 161 cases of laparoscopic esophageal hiatal hernia repair combined with gastric fundus folding surgery were successfully completed, with an operation time of (92.2±20.1) min, intraoperative bleeding volume of (31.0±10.4) ml, postoperative hospital stay of (5.6±1.5) d, and postoperative acid reflux symptoms were alleviated. Three cases had difficult swallowing early after surgery, and they recovered after 3 weeks of medication treatment and dietary guidance. After discharge, 156 patients were followed up for a period of 4 to 24 months, with a follow-up rate of 97%. Among them, 151 patients had no more clinical symptoms, 5 had occasional acid reflux and heartburn, and there were no clinical recurrence cases.Conclusion:Laparoscopic biological patch repair combined with gastric fundus folding used for the treatment of hiatal hernia combined with gastroesophageal reflux disease is successful, and the short-term therapeutic effect is promising.
