Perioperative management strategies for hiatal hernia in patients 70 years old or above

VernacularTitle:70岁及以上食管裂孔疝患者的微创围手术期治疗策略
Author: Yu WU ¹ ; Yu WANG ; Jing XUN ; Lin LANG ; Zhongjie LIU
Author Information

1. 天津医科大学附属南开医院胃肠外科,天津　300100
Publication Type:Journal Article
Keywords: Aged; Hernia, hiatal; Perioperative period; Laparoscopy
From: Chinese Journal of General Surgery 2025;40(11):846-849
CountryChina
Language:Chinese
Abstract: Objective:To explore perioperative management strategies for hiatal hernia in patients 70 years old or above.Methods:The perioperative clinical data of 102 patients (≥70 years) undergoing minimally invasive hiatal hernia repair from January 2019 to December 2024 was retrospectively analyzed.Results:The elderly group age ranged from 70 to 95 years,including 32 males and 70 females with disease duration of 0.67-51 years (mean 10.1 years), showing 68.63% comorbidity incidence (70 cases). Postoperative complication rates were 22.55%, with no severe complications occurring within one month after surgery.Conclusions:Hiatal hernia patients 70 years old or above exhibit longer disease histories, higher comorbidity rates, and increased postoperative complications. Comprehensive preoperative assessment, precise minimally invasive intraoperative techniques, and enhanced perioperative management ensure safe anesthesia and surgical implementation, improve surgical safety, and facilitate patient recovery.