Effect and safety of laparoscopic hiatal hernia repair combined with fundoplication in hiatal hernia complicated with gastroesophageal reflux disease
Yu Xiangyang
He Yanfang
Zhao Peng
Zhang Guozhi
Wang Changyou
Sun Rui
Abstract：Objective To explore the effect and safety of laparoscopic hiatal hernia repair combined with fundoplication in hiatal hernia complicated with gastroesophageal reflux disease.Methods Totally 72 cases of patients with hiatal hernia complicated with gastroesophageal reflux disease from January 2012 to January 2015 were enrolled and randomly divided into control group (36 cases) receiving conventional laparotomy, and observation group (36 cases) receiving laparoscopic hiatal hernia repair combined with fundoplication.The duration of operation time, intraoperative blood loss, recovery time of gastrointestinal function, hospitalization duration, reflux diagnostic questionnaire (RDQ) scores, gastrointestinal quality of life index (GLQI) scores and incidence of complications were compared between groups.Results The duration of operation time, intraoperative blood loss,recovery time of gastrointestinal function after operation and hospitalization duration in observation group were significantly less than those in control group [(76 ± 10) min vs (95 ± 12) min, (28 ± 10) ml vs (77 ±21) ml,(1.2±0.4) d vs (3.6±1.0) d, (6.1 ±1.6) d vs (11.9±2.4) d] (P＜0.05).Before treatment, observation group and control group were not significantly different regarding the RDQ scores [pectoralgia:(4.73 ±2.31) scores vs (4.82 ±2.53) scores, heartburn: (6.13 ±2.43) scores vs (6.02 ± 1.93) scores,sour regurgitation: (4.29 ± 2.12) scores vs (4.36 ± 2.31) scores, gastroesophageal reflux: (5.02 ±2.17) scores vs (5.13 ±2.62) scores] and GLQI scores [subjective symptom: (48.4 ±9.1) scores vs (49.0 ±8.9) scores, physiological function state : (15.3 ± 5.1) scores vs (15.4 ± 5.3) scores, mental state : (12.3 ±4.2) scores vs (12.1 ± 3.6) scores, social status : (8.9 ± 2.5) scores vs (8.7 ± 2.6) scores, total GLQI scores: (84.5 ± 12.5) scores vs (84.8 ± 12.8) scores] (P ＞ 0.05).After treatment, the RDQ scores were significantly reduced and the GLOI scores were significantly increased in both group;the RDQ scores in observation group was significantly lower than those in control group [pectoralgia : (1.04 ± 0.22) scores vs (2.43 ±1.04) scores, heartburn: (1.44 ± 0.62) scores vs (3.23 ± 1.24) scores, sour regurgitation: (1.25 ±0.57) scores vs (2.52 ± 1.32) scores, gastroesophageal reflux: (1.35 ± 0.74) scores vs (2.68 ± 1.01) scores] (P ＜ 0.05);the GLQI scores in observation group were significantly higher than those in control group [subjective symptom : (65.7 ± 6.6) scores vs (55.2 ± 5.2) scores, physiological function state : (20.6 ± 3.6) scores vs (18.1 ± 2.3) scores, mental state : (18.1 ± 2.7) scores vs (16.0 ± 3.2) scores, social status : (12.4 ±1.7) scores vs (10.6 ± 2.1) scores, total GLQI scores : (115.2 ± 9.4) scores vs (98.7 ± 10.2) scores] (P ＜0.05).In control group, dysphagia occurred in 2 cases, abdominal distension occurred in 3 cases, wound infection occurred in 3 cases;in observation group, dysphagia occurred in 2 cases;the incidence of complications in observation group was significantly lower than that in control group [5.6％ (2/36) vs 25.0％ (9/36)] (P ＜ 0.05).Conclusion Laparoscopic hiatal hernia repair combined with fundoplication can improve gastrointestinal function and gastric reflux symptoms, enhance quality of life, and reduce the incidence of complications in treating hiatal hernia complicated with gastroesophageal reflux disease.
Keywords：Hernia,hiatalGastroesophageal refluxHiatal hernia repairFundoplication
Publication Date：2016-01-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 67-71 )