CAJ | 학술논문

目的探讨腹腔镜下食管裂孔疝修补术的适应证、安全性及操作要点。方法回顾性分析2009年12月至2014年6月，武汉市中心医院12例食管裂孔疝患者行腹腔镜食管裂孔疝修补术的临床资料，其中9例予以单纯缝合，3例使用补片。结果12例腹腔镜食管裂孔疝修补术全部成功。手术时间150（60～220）min，失血量35（15～100）ml，术后48～72 h恢复流质饮食，无严重术后并发症；术后平均住院时间8．5 d。3例患者术后出现吞咽困难症状，于术后2周逐渐恢复，其余症状缓解明显。无复发症状。结论腹腔镜食管裂孔修补术在把握好手术适应证的前提下，是微创、安全有效的手术方法，值得进一步推广应用。
목적탐토복강경하식관렬공산수보술적괄응증、안전성급조작요점。방법회고성분석2009년12월지2014년6월，무한시중심의원12례식관렬공산환자행복강경식관렬공산수보술적림상자료，기중9례여이단순봉합，3례사용보편。결과12례복강경식관렬공산수보술전부성공。수술시간150（60～220）min，실혈량35（15～100）ml，술후48～72 h회복류질음식，무엄중술후병발증；술후평균주원시간8．5 d。3례환자술후출현탄인곤난증상，우술후2주축점회복，기여증상완해명현。무복발증상。결론복강경식관렬공수보술재파악호수술괄응증적전제하，시미창、안전유효적수술방법，치득진일보추엄응용。
Objective To investigate the indication ,safety,and operational key point of laparoscopic repair of paraesophageal herni.Methods There were 12 patients in Wuhan Central Hospital from December 2009 to June 2014underwent laparoscopic repair of paraesophageal hernia ,3 cases of them repaired with mesh and 9 cases of them without mesh .Results Laparoscopic repair of paraesophageal hernia was completed successfully in all 12 patients.The average operation time were 150(60-220)minutes and the blood loss were 35(15-100)ml.Postoperative oral feeding were resumed on 24-48 hours after operation,and no serious postoperative complication occurred .The median postoperative hospital stay were 8.5 days. Temporary dysphagia ocured in 3 cases and relived in two weeks .Conclusion Basing on the proper indication,laparoscopic repair of paraesophageal hernia was a mini -invasive,safe and effective surgical procedure .It is worth being further spreaded .