Laparoscopic standardized seven-step surgical operative guidelines for hiatal hernia and gastroesophageal reflux disease(2025 edition)
10.7659/j.issn.1005-6947.250074
- VernacularTitle:食管裂孔疝及胃食管反流病规范化腹腔镜手术七步法操作指南(2025版)
- Collective Name:Youth Committee of the GERD Specialty Group,Surgical Branch of the Chinese Medical Doctor Association;Hiatal Hernia and GERD Specialty Group,Hernia and Abdominal Wall Surgery Branch of the Guangdong Medical Doctor Association
- Publication Type:Journal Article
- Keywords:
Hernia,Hiatal;
Gastroesophageal Reflux;
Laparoscopes;
Seven-Step Procedure;
Guidelines
- From:
Chinese Journal of General Surgery
2025;34(4):600-613
- CountryChina
- Language:Chinese
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Abstract:
Based on the"Laparoscopic standardized seven-step surgical procedure guidelines for hiatal hernia and gastroesophageal reflux disease(GERD)(2021 edition)",this guideline updates the evidence-based evidence from the past four years.It aims to provide standardized and homogenized guidance for the surgical treatment of GERD and hiatal hernia.The guideline elaborates on preoperative examination,surgical indications,contraindications,preoperative preparation,surgical steps,postoperative management,and follow-up.The surgical procedure follows a seven-step approach,which includes placement of trocars,abdominal cavity exploration,mobilization of the abdominal esophagus,closure of the hiatal defect,reinforcement of the diaphragmatic crura with mesh fixation,construction of the anti-reflux valve mechanism,irrigation of the operative field and closure of port sites.The guideline emphasizes the importance of preoperative multidisciplinary evaluation,individualized surgical planning,and management of postoperative complications,aiming to enhance the safety and effectiveness of surgery,reduce postoperative complications,and improve the patient's quality of life.
