Application of the"necktie technique"in laparoscopic esophageal hiatal hernia repair and fundoplication surgery
10.7659/j.issn.1005-6947.250111
- VernacularTitle:"领带技术"在腹腔镜食管裂孔疝修补及胃底折叠手术中的应用
- Author:
Peng XUE
1
;
Ning MA
;
Taicheng ZHOU
Author Information
1. 广东省深圳市盐田区人民医院普通外科,广东 深圳 518081
- Publication Type:Journal Article
- Keywords:
Hernia,Hiatal;
Herniorrhaphy;
Laparoscopes;
Suture Techniques
- From:
Chinese Journal of General Surgery
2025;34(4):640-647
- CountryChina
- Language:Chinese
-
Abstract:
With the rising incidence of hiatal hernia and gastroesophageal reflux disease,surgical techniques urgently require refinement to improve patient outcomes.Guided by the concept of"anatomical priority",Professor Chen Shuang's team has established a standardized seven-step laparoscopic protocol,emphasizing three key components:precise dissection of the"sacred plane",three-dimensional crural reconstruction,and tension-controlled fundoplication.To address limitations such as restricted intraoperative visualization and poor reproducibility,the team further developed the innovative"necktie traction technique".This method employs a red pediatric catheter to create a dynamic traction system,enabling directional field exposure,axial esophageal repositioning,and quantitative control of fundoplication.Integrating biomechanical principles,the technique provides a visualized and standardized operative pathway,significantly enhancing surgical safety,efficacy,and reproducibility.As a novel approach combining anatomical restoration with functional anti-reflux reconstruction,the"necktie technique"offers robust technical support for the standardized promotion of laparoscopic anti-reflux surgery.
