食管裂孔疝两种手术入路的临床疗效比较

doi:10.3969/j.issn.2095-378X.2017.03.006

Surgical Research and New Technique ›› 2017, Vol. 6 ›› Issue (3): 165-168.doi: 10.3969/j.issn.2095-378X.2017.03.006

• Original article • Previous Articles Next Articles

Comparison of thoracic and transabdominal approches for the treatment of esophageal hiatal hernia

ZHANG Yangyang¹, SHAN Lingtong², PU Yiwei², LI Wangying³, YAO Zhijian⁴, GE Wen⁵

1.Department of Cardiovascular Surgery,East Hospital Affiliated to Tongji University, Shanghai 200120,China;
2.The First Clinical Medical College of Nanjing Medical University,Nanjing 210029,China;
3.Department of Outpatient,East Hospital Affiliated to Tongji University,Shanghai 200120,China;
4.Shanghai East Clinical Medical College of Shanxi Medical University,Shanghai 200120,China;
5.Department of Cardiothoracic Surgery,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China

Received:2017-07-16 Published:2019-12-11

Abstract

Abstract: Objective To compare the safety and effectiveness of thoracic approach and transabdominal approach for the treatment of esophageal hiatus hernia.Methods Eighteen patients with esophageal hiatal hernia who underwent surgical treatment were randomly divided into group A (10 cases with thoracic approach) and group B (8 cases with transabdominal approach).The perioperative clinical indicators and short-term follow-ups of the two groups were compared.Results All the operations were successful.One case with pulmonary infection and two cases with functional gastroparesis in group A were recovered after treatment and discharged from hospital.There were no statistically significant differences in operative time,incidence rate of postoperative complications,postoperative drainage,postoperative hospital stay,and total cost of hospitalization between group A and group B.After a 3-month follow-up,there was no obvious discomfort,and clinical symptoms were effectively relieved.Conclusion These two approaches for the treatment of esophageal hiatal hernia could achieve the same effect with good short-term prognosis.

Key words: Hiatal hernia, Surgical approach, Clinical efficacy

CLC Number:

R734.2

ZHANG Yangyang, SHAN Lingtong, PU Yiwei, LI Wangying, YAO Zhijian, GE Wen. Comparison of thoracic and transabdominal approches for the treatment of esophageal hiatal hernia[J]. Surgical Research and New Technique, 2017, 6(3): 165-168.

References

[1] Pkassas D,Rolfs TM,Schumacher FJ.Laparoscopic repair of giant hiatal hernia.A single center experience[J].Int J Surg,2015,20(1):149-152.
[2] 李俊生,张成,嵇振岭,等.食管裂孔疝修补术中补片的应用及争议[J].中华胃食管反流病电子杂志,2015,1(2):102-104.
[3] Bradley DD,Louie BE,Farivar AS,et al.Assessment and reduction of diaphragmatic tension during hiatal hernia repair[J].Surg Endosc,2015,29(4):796-804.
[4] Tolboom RC,Draaisma WA,Broeders IAMJ.Evaluation of conventional laparoscopic versus robot-assisted laparoscopic redo hiatal hernia and antireflux surgery:a cohort study[J].J Robot Surg,2016,10(1):33-39.
[5] 田昊睿,杜振宗,张立飞,等.食管裂孔疝经胸入路手术治疗21例[J].重庆医学,2015,1(23):3244-3246.
[6] Page PL,Furtado R,Hayward M,et al.Durability of giant hiatus hernia repair in 455 patients over 20 years[J].Ann R Coll Surg Engl,2015,97(3):188-193.
[7] Siow SL,Tee SC,Wong CM.Successful laparoscopic management of paraesophageal hiatal hernia with upside-down intrathoracic stomach:a case report[J].J Med Case Rep,2015,9(1):49.
[8] Chaar ME,Ezeji G,Claros L,et al.Short-term results of laparoscopic sleeve gastrectomy in combination with hiatal hernia repair:experience in a single accredited center[J].Obes Surg,2016,26(1):1-9.
[9] 田文,郗洪庆,卫勃,等.机器人辅助食管裂孔疝修补术及胃底折叠术2例报告及文献复习[J].中国实用外科杂志,2015,35(5):519-521.
[10] 苏福增,张成,克力木,等.腹腔镜Nissen Toupet和Dor胃底折叠术治疗食管裂孔疝合并胃食管反流病的疗效对比分析[J].中华胃肠外科杂志,2016,19(9):1014-1020.
[11] Watson DI,Thompson SK,Devitt PG,et al.Laparoscopic repair of very large hiatus hernia with sutures versus absorbable mesh versus nonabsorbable mesh:a randomized controlled trial[J].Ann Surg,2015,261(2):282-289.
[12] Pilone V,Vitiello A,Hasani A,et al.Laparoscopic adjustable gastric banding outcomes in patients with gastroesophageal reflux disease or hiatal hernia[J].Obes Surg,2015,25(2):1-5.

Comparison of thoracic and transabdominal approches for the treatment of esophageal hiatal hernia

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 5

Recommended Articles

Metrics

Comments

[1]	LIU Jianxin, WANG Zheng, LI Jian. Efficacy, surgical outcome, and prognosis of patients with lumbar disc herniation after modified foraminoplasty [J]. Surgical Research and New Technique, 2020, 9(3): 166-169.
[2]	LIU Xiaoming, HU Yaohua, TANG Shibin, LUO Zhiquan. Clinical study on reconstruction of metacarpophalangeal joint defect with semi-hook carpometacarpal joint surface transplantation [J]. Surgical Research and New Technique, 2019, 8(4): 230-233.
[3]	LI Liu, YANG Xueying, LYU Yuhong. Application of WeChat platform in family nursing of elderly patients with hip fracture [J]. Surgical Research and New Technique, 2019, 8(4): 291-294.
[4]	. Clinical analysis of benign prostatic hyperplasia and bladder stone surgery earlier [J]. Surgical Research and New Technique, 2016, 5(4): 261-263.
[5]	. A comparison of the clinical efficacy of LCP and PFNA for surgical treatment of intertrochanteric fractures [J]. Surgical Research and New Technique, 2015, 4(1): 27-29,47.