[1]牛建华,刘仕琪,木拉提,等.腹腔镜手术治疗食管裂孔疝、反流性食管炎合并胆囊结石27例[J].中国微创外科杂志,2009,09(5):429-431.
　Niu Jianhua,Liu Shiqi,Mu Lati,et al.Laparoscopic Therapy for Esophageal Hiatus Hernia and Reflux Esophagitis Complicated with Cholecystolithiasis: Report of 27 Cases[J].Chinese Journal of Minimally Invasive Surgery,2009,09(5):429-431.
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腹腔镜手术治疗食管裂孔疝、反流性食管炎合并胆囊结石27例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年5期
页码:
429-431
栏目:
出版日期:
2009-08-01

文章信息/Info

Title:
Laparoscopic Therapy for Esophageal Hiatus Hernia and Reflux Esophagitis Complicated with Cholecystolithiasis: Report of 27 Cases
作者:
牛建华; 刘仕琪; 木拉提; 彭心宇; 牛少雄; 习羽; 何家庚; 秦乐; 梁学奇
石河子大学医学院第一附属医院普外三科，石河子832002
Author(s):
Niu Jianhua;  Liu Shiqi;  Mu Lati;  et al.
Department of General Surgery, First Affiliated Hospital, Shihezi University Medical School, Shihezi 832002, China
关键词:
腹腔镜手术; 食管裂孔疝; 反流性食管炎; 胆囊结石; 胃食管反流性疾病
Keywords:
Laparoscopic surgery; Esophageal hiatus hernia; Reflux esophagitis; Cholecystolithiasis; Gastroesophageal reflux disease
分类号:
R655.4
文献标志码:
A
摘要:
目的探讨腹腔镜手术同时治疗食管裂孔疝、反流性食管炎合并胆囊结石的可行性。方法采用五孔法。先行腹腔镜食管裂孔疝修补，再行胃底折叠术(21例行Nissen胃底折叠术，6例行Toupet胃底折叠术)，最后行LC。结果27例均顺利完成了手术，术后食管内压力(19.32±4.11) mm Hg，显著高于术前(7.30±1.36) mm Hg(t=-16.407，P=0000)；术后24 h食管pH值9.20±2.15，显著低于术前160.16±50.30(t=16.387，P=0.000)。无出血、腹腔感染、胆漏等并发症。27例随访1～24个月(其中7例随访1~6个月，20例随访7~24个月)，无食管狭窄、切口疝等并发症的发生。结论食管裂孔疝、反流性食管炎合并胆囊结石的患者一期行腹腔镜手术可行。
Abstract:
ObjectiveTo explore the feasibility of laparoscopic surgery for esophageal hiatus hernia and reflux esophagitis complicated with cholecystolithiasis．MethodsFive trocars were used for the patients to perform laparoscopic hiatal hernia repair, followed by fundoplication (Nissen fundoplication in 21 cases and Toupet fundoplication in 6), and then LC．ResultsThe procedures were completed in all of the 27 cases．The postoperative mean esophageal pressure of the patients was significantly higher than that before the operations ［(19.32±4.11) mm Hg vs (7.30±1.36) mm Hg, t=-16.407，P=0.000］, while the 24hour pH value were decreased markedly (920±215 vs 16016±5030, t=16387, P=0000). No hemorrhage, intraabdominal infection, biliary leakage occurred in this series. The patients were followed up for 1 to 24 months (1-6 months in 7 cases, and 7-24 months in 20 cases), during which no esophageal stenosis or incisional hernia were detected．ConclusionsIt is feasible to perform primary laparoscopic surgery for patients suffering from esophageal hiatus hernia and reflux esophagitis complicated with simultaneous cholecystolithiasis, if no contraindications．

参考文献/References:

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备注/Memo

备注/Memo:
新疆生产建设兵团科学基金资助项目（2007GG24）
更新日期/Last Update: 2013-08-19