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