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Gasless Laparoscopic Surgery plus Abdominal Wall Lifting for Giant Hiatal Hernia——Our Single-center Experience

Journal of Huazhong University of Science and Technology(Medical Sciences) 2016年第6期36卷 923-926页

作者： Jiang-hong YU Ji-xiang WU Lei YU Jian-ye LI Department of General Surgery Department of Thoracic Surgery Beijing Tongren Hospital Capital Medical University Beijing 100730 China

Giant hiatal hernia（GHH） comprises 5% of hiatal hernia and is associated with significant *** traditional operative procedure,no matter transthoracic or transabdomen repair of giant hiatal hernia,is characteristic of more invasion and more *** laparoscopic repair as a minimally invasive surgery is accepted,a part of patients can not tolerate pneumoperitoneum because of combination with cardiopulmonary diseases or severe posterior mediastinal and neck emphesema during *** aim of this article was to analyze our experience in gasless laparoscopic repair with abdominal wall lifting to treat the giant hiatal *** performed a retrospective review of patients undergoing gasless laparoscopic repair of GHH with abdominal wall lifting from 2012 to 2015 at our *** GHH was defined as greater than one-third of the stomach in the *** laparoscopic repair of GHH with abdominal wall lifting was attempted in 27 *** age was 67 *** results showed that there were no conversions to open surgery and no intraoperative *** mean duration of operation was 100 min（range：90–130 min）.One-side pleura was injured in 4 cases（14.8%）.The mean postoperative length of stay was 4 days（range：3–7 days）.Median follow-up was 26 months（range：6–38 months）.Transient dysphagia for solid food occurred in three patients（11.1%）,and this symptom disappeared within three *** was one patient with recurrent hiatal hernia who was reoperated *** patients still complained of heartburn three months after *** reoperation nor endoscopic treatment due to signs of postoperative esophageal stenosis was required in any ***,satisfactory outcome was reported in 88.9% *** was concluded that the gasless laparoscopic approach with abdominal wall lifting to the repair of GHH is feasible,safe,and effective for the patients who cannot tolerate the pneumoperitoneum.

关键词： gasless laparoscopy abdominal wall lifting giant hiatal hernia nissen fimdoplication

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