Laparoscopic anti-reflux surgery for gastroesophageal reflux disease with hiatal hernia:A clinical analysis of 650 patients
Abstract：Objective To evaluate the efficacy and safety of laparoscopic hiatal hernioraphy plus fundoplication for gastroesophageal reflux disease (GERD). Methods The clinical data of 650 patients underwent laparoscopic hiatal hernioraphy plus fundoplication from September 2005 to August 2013 in People’s Hospital of Xinjiang Uyghur Autonomous Region were analyzed retrospectively. Results Laparoscopic hiatal herniorrhaphy plus fundoplication were successfully performed in all 650 patients without conversion. Combined operation was performed in 135 patients (20.8%). The average duration of operation was 64.3 min (45-90min) and the average amount of bleeding was 18 mL (5-50mL). No intraoperative or postoperative blood transfusion. Liquid diet was used in 24-48 h after operation. Postoperative hospital stay was 2-8 d. All the patients were followed up for 6 months to 8 years. Postoperative dysphagia occurred in 21 patients. Recurrent hiatal hernia (gastric wrap herniated into the chest) occurred in 4 patients. Recurrence of symptoms occurred in 14 patients. Gas bloating syndrome occurred in 6 patients. Conclusion Laparoscopic hiatal hernioraphy plus fundoplication is safe and effective with less invasive,faster recovery,fewer complication, which can combine surgical treatment of other diseases and is the ideal choice for GERD with hiatal hernia.
Keywords：gastroesophageal reflux diseasehiatal hernia repairfundoplicationlaparoscopy
Publication Date：2014-01-01
Pages：3( 416-418 )