腹腔镜疝修补联合Nissen胃底折叠术治疗食管裂孔疝
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摘要
食管裂孔疝是一种常见的消化系统疾病,通常伴有胃食管反流。近年来食管裂孔疝发病率呈上升的趋势。食管裂孔疝带来的食管症状及食管外症状严重影响着患者的身心健康。由于内科治疗的局限性,手术治疗食管裂孔疝越来越受到外科医师的关注。食管裂孔疝手术旨在修补缺损,通过胃底折叠恢复食管下端括约肌的作用,达到抗反流的效果。腹腔镜技术以其安全、有效及方便等优势而成为治疗食管裂孔疝的首选方法。本文对近年来我院腹腔镜疝修补联合Nissen胃底折叠术治疗食管裂孔疝的经验作一总结。
Esophageal hiatal hernia is a common digestive system disease, which is always complicated with gastroesophageal reflux. The incidence of hiatal hernia is increasing in recent years.Esophageal symptoms and extra-esophageal symptoms caused by esophageal hiatal hernia seriously affect the physical and mental health of patients. Due to the limitations of medical treatment, surgical treatment for hiatal hernia is increasingly concerned by surgeons. The purpose of surgery of hiatal hernia is to repair the defect, as well as recover function of lower esophagus through fundoplication to achieve the effect of antireflux. Laparoscopic technique is the preferred choice for the treatment of hiatal hernia because of its advantages of safety, efficiency and convenience. In this article, we summarized and shared the experience of laparoscopic hernia repair combined with Nissen fundoplication for the treatment of esophageal hiatal hernia in our hospital in recent years.
Esophageal hiatal hernia is a common digestive system disease, which is always complicated with gastroesophageal reflux. The incidence of hiatal hernia is increasing in recent years.Esophageal symptoms and extra-esophageal symptoms caused by esophageal hiatal hernia seriously affect the physical and mental health of patients. Due to the limitations of medical treatment, surgical treatment for hiatal hernia is increasingly concerned by surgeons. The purpose of surgery of hiatal hernia is to repair the defect, as well as recover function of lower esophagus through fundoplication to achieve the effect of antireflux. Laparoscopic technique is the preferred choice for the treatment of hiatal hernia because of its advantages of safety, efficiency and convenience. In this article, we summarized and shared the experience of laparoscopic hernia repair combined with Nissen fundoplication for the treatment of esophageal hiatal hernia in our hospital in recent years.
引文
1 Yu HX,Han CS,Xue JR,et al.Esophageal hiatal hernia:risk,diagnosis and management[J].Expert Rev Gastroenterol Hepatol,2018,12(4):319-329.
2 Goyal RK.Diseases of the esophagus//Fauci AS,Braunwald E,Kasper DL,et al.Harrison′s principles of internal medicine[M].17th ed.McGraw-Hill Professional,2008.
3杜智,张成,克力木.滑动型食管裂孔疝长度与胃食管反流病关系的研究[J].临床外科杂志,2017,25(1):75-77.
4 Hoffmans D,Dahele M,Senan S,et al.Can the probability of radiation esophagitis be reduced without compromising lung tumor control:A radiobiological modeling study[J].Acta Oncol,2016,55(7):926-930.
5尹兴瑞,克力木·阿不都热依木,阿扎提江,等.腹腔镜下食管裂孔疝的外科治疗进展[J].腹腔镜外科杂志,2015,20(12):943-945.
6杨玉兵,王耿泽,张海洋.腹腔镜食管裂孔疝修补联合胃底折叠术治疗胃食管反流病合并食管裂孔疝[J].中国普通外科杂志,2014,23(12):1730-1732.
7 Matar A,Mroue J,Camporesi E,et al.Large Hiatal Hernia Compressing the Heart[J].Am J Cardiol,2016,117(3):483-484.
8 Garg H,Vigneshwaran B,Aggarwal S,et al.Impact of concomitant laparoscopic sleeve gastrectomy and hiatal hernia repair on gastroesophageal reflux disease in morbidly obese patients[J].J Minim Access Surg,2017,13(2):103-108.
9辛维栋,魏煜程,陈立材.腹腔镜手术治疗食管裂孔疝28例临床疗效分析[J/OL].中华疝和腹壁外科杂志(电子版),2015,9(5):384-385.
10 Chang CG,Thackeray L.Laparoscopic Hiatal Hernia Repair in 221Patients:Outcomes and Experience[J].JSLS,2016,20(1).pii:e2015.00104.
11 Fuchs KH,Babic B,Breithaupt W,et al.EAES recommendations for the management of gastroesophageal reflux disease[J].Surg Endosc,2014,28(6):1753-1773.
12张成,克力木,牛伟亚,等.腹腔镜下胃底Nissen折叠术式治疗的食管裂孔疝临床应用[J/OL].中华普外科手术学杂志(电子版),2010,4(1):53-56.
13丁海涛,韩智君,曹杰,等.腹腔镜疝修补术联合Nissen胃底折叠术治疗食管裂孔疝的前瞻性研究[J].中国现代手术学杂志,2018,22(2):113-118.
14 Changchien TC,Tai CM,Huang CK,et al.Psychiatric symptoms and leptin in obese patients who were bariatric surgery candidates[J].Neuropsychiatr Dis Treat,2015,11:2153-2158.
15 Broeders JA,Broeders EA,Watson DI,et al.Objective outcomes 14years after laparoscopic anterior 180-degree partial versus nissen fundoplication:results from a randomized trial[J].Ann Surg,2013,258(2):233-239.
16郝志鹏,蔡奕欣,付圣灵,等.全腹腔镜食管裂孔修补及Nissen胃底折叠新技巧治疗食管裂孔疝疗效分析[J].临床外科杂志,2017,25(1):51-54.
17王玉璇,李强,杨更朴,等.腹腔镜下食管裂孔疝修补联合Nissen胃底折叠术治疗食管裂孔疝的临床疗效及预后[J].中国药物与临床,2018,18(7):1149-1150.
18王康武,刘学刚,王祖义,等.改良Nissen术治疗滑动性食管裂孔疝22例[J].中国微创外科杂志,2017,17(7):618-622.
19郑亚杰,田文,马冰,等.老年食管裂孔疝的腹腔镜治疗[J].中华保健医学杂志,2012,14(2):112-114.
20褚海波,徐永波,仇明,等.腹腔镜补片修补巨大食管裂孔疝[J/OL].中华腔镜外科杂志(电子版),2011,4(4):265-268.
21 Mehta S,Boddy A,Rhodes M.Review of outcome after laparoscopic paraesophageal hiatal hernia repair[J].Surg Laparosc Endosc Percutan Tech,2006,16(5):301-306.
22 Schmidt E,Shaligram A,Reynoso JF,et al.Hiatal hernia repair with biologic mesh reinforcement reduces recurrence rate in small hiatal hernias[J].Dis Esophagus,2014,27(1):13-17.
23褚海波,仇明,潘龙文,等.腹腔镜Nissen胃底折叠术的临床疗效评价[J].腹腔镜外科杂志,2008,13(4):281-283.
24 De Moor V,Zalcman M,Delhaye M,et al.Complications of mesh repair in hiatal surgery:about 3 cases and review of the literature[J].Surg Laparosc Endosc Percutan Tech,2012,22(4):e222-e225.
25傅朝春,徐安书,张世博,等.腹腔镜下食管裂孔疝修补术的临床疗效分析[J].华西医学,2017,32(3):425-427.
26吴继敏.食管裂孔疝诊治中应重视的几个问题[J].临床外科杂志,2013,21(6):419-421.
27王峰,吴继敏,汪忠镐,等.单中心腹腔镜食管裂孔疝修补术992例[J].中华普通外科杂志,2016,31(9):732-735.
28杨帅帅,孙作成.3D腹腔镜疝修补术联合胃底折叠术治疗食管裂孔疝53例临床分析[J].安徽医药,2018,22(5):916-918.
29 Desiderio J,Trastulli S,Ricci F,et al.Robotic Nissen fundoplication for gastro-oesophageal reflux disease with hiatal hernia(with video)[J].J Visc Surg,2016,153(2):145-146.
30 Gunter RL,Shada AL,Funk LM,et al.Long-Term Quality of Life Outcomes Following Nissen Versus Toupet Fundoplication in Patients with Gastroesophageal Reflux Disease[J].J Laparoendosc Adv Surg Tech A,2017,27(9):931-936.
31王志,苏福增,张成,等.腹腔镜Toupet胃底折叠术治疗食管裂孔疝合并胃食管反流病的疗效分析[J].中国医师杂志,2016,18(8):1172-1175.
32 Fass R.An Overview of Transoral Incisionless Fundoplication and Magnetic Sphincter Augmentation for GERD[J].Gastroenterol Hepatol(N Y),2017,13(1):50-52.
2 Goyal RK.Diseases of the esophagus//Fauci AS,Braunwald E,Kasper DL,et al.Harrison′s principles of internal medicine[M].17th ed.McGraw-Hill Professional,2008.
3杜智,张成,克力木.滑动型食管裂孔疝长度与胃食管反流病关系的研究[J].临床外科杂志,2017,25(1):75-77.
4 Hoffmans D,Dahele M,Senan S,et al.Can the probability of radiation esophagitis be reduced without compromising lung tumor control:A radiobiological modeling study[J].Acta Oncol,2016,55(7):926-930.
5尹兴瑞,克力木·阿不都热依木,阿扎提江,等.腹腔镜下食管裂孔疝的外科治疗进展[J].腹腔镜外科杂志,2015,20(12):943-945.
6杨玉兵,王耿泽,张海洋.腹腔镜食管裂孔疝修补联合胃底折叠术治疗胃食管反流病合并食管裂孔疝[J].中国普通外科杂志,2014,23(12):1730-1732.
7 Matar A,Mroue J,Camporesi E,et al.Large Hiatal Hernia Compressing the Heart[J].Am J Cardiol,2016,117(3):483-484.
8 Garg H,Vigneshwaran B,Aggarwal S,et al.Impact of concomitant laparoscopic sleeve gastrectomy and hiatal hernia repair on gastroesophageal reflux disease in morbidly obese patients[J].J Minim Access Surg,2017,13(2):103-108.
9辛维栋,魏煜程,陈立材.腹腔镜手术治疗食管裂孔疝28例临床疗效分析[J/OL].中华疝和腹壁外科杂志(电子版),2015,9(5):384-385.
10 Chang CG,Thackeray L.Laparoscopic Hiatal Hernia Repair in 221Patients:Outcomes and Experience[J].JSLS,2016,20(1).pii:e2015.00104.
11 Fuchs KH,Babic B,Breithaupt W,et al.EAES recommendations for the management of gastroesophageal reflux disease[J].Surg Endosc,2014,28(6):1753-1773.
12张成,克力木,牛伟亚,等.腹腔镜下胃底Nissen折叠术式治疗的食管裂孔疝临床应用[J/OL].中华普外科手术学杂志(电子版),2010,4(1):53-56.
13丁海涛,韩智君,曹杰,等.腹腔镜疝修补术联合Nissen胃底折叠术治疗食管裂孔疝的前瞻性研究[J].中国现代手术学杂志,2018,22(2):113-118.
14 Changchien TC,Tai CM,Huang CK,et al.Psychiatric symptoms and leptin in obese patients who were bariatric surgery candidates[J].Neuropsychiatr Dis Treat,2015,11:2153-2158.
15 Broeders JA,Broeders EA,Watson DI,et al.Objective outcomes 14years after laparoscopic anterior 180-degree partial versus nissen fundoplication:results from a randomized trial[J].Ann Surg,2013,258(2):233-239.
16郝志鹏,蔡奕欣,付圣灵,等.全腹腔镜食管裂孔修补及Nissen胃底折叠新技巧治疗食管裂孔疝疗效分析[J].临床外科杂志,2017,25(1):51-54.
17王玉璇,李强,杨更朴,等.腹腔镜下食管裂孔疝修补联合Nissen胃底折叠术治疗食管裂孔疝的临床疗效及预后[J].中国药物与临床,2018,18(7):1149-1150.
18王康武,刘学刚,王祖义,等.改良Nissen术治疗滑动性食管裂孔疝22例[J].中国微创外科杂志,2017,17(7):618-622.
19郑亚杰,田文,马冰,等.老年食管裂孔疝的腹腔镜治疗[J].中华保健医学杂志,2012,14(2):112-114.
20褚海波,徐永波,仇明,等.腹腔镜补片修补巨大食管裂孔疝[J/OL].中华腔镜外科杂志(电子版),2011,4(4):265-268.
21 Mehta S,Boddy A,Rhodes M.Review of outcome after laparoscopic paraesophageal hiatal hernia repair[J].Surg Laparosc Endosc Percutan Tech,2006,16(5):301-306.
22 Schmidt E,Shaligram A,Reynoso JF,et al.Hiatal hernia repair with biologic mesh reinforcement reduces recurrence rate in small hiatal hernias[J].Dis Esophagus,2014,27(1):13-17.
23褚海波,仇明,潘龙文,等.腹腔镜Nissen胃底折叠术的临床疗效评价[J].腹腔镜外科杂志,2008,13(4):281-283.
24 De Moor V,Zalcman M,Delhaye M,et al.Complications of mesh repair in hiatal surgery:about 3 cases and review of the literature[J].Surg Laparosc Endosc Percutan Tech,2012,22(4):e222-e225.
25傅朝春,徐安书,张世博,等.腹腔镜下食管裂孔疝修补术的临床疗效分析[J].华西医学,2017,32(3):425-427.
26吴继敏.食管裂孔疝诊治中应重视的几个问题[J].临床外科杂志,2013,21(6):419-421.
27王峰,吴继敏,汪忠镐,等.单中心腹腔镜食管裂孔疝修补术992例[J].中华普通外科杂志,2016,31(9):732-735.
28杨帅帅,孙作成.3D腹腔镜疝修补术联合胃底折叠术治疗食管裂孔疝53例临床分析[J].安徽医药,2018,22(5):916-918.
29 Desiderio J,Trastulli S,Ricci F,et al.Robotic Nissen fundoplication for gastro-oesophageal reflux disease with hiatal hernia(with video)[J].J Visc Surg,2016,153(2):145-146.
30 Gunter RL,Shada AL,Funk LM,et al.Long-Term Quality of Life Outcomes Following Nissen Versus Toupet Fundoplication in Patients with Gastroesophageal Reflux Disease[J].J Laparoendosc Adv Surg Tech A,2017,27(9):931-936.
31王志,苏福增,张成,等.腹腔镜Toupet胃底折叠术治疗食管裂孔疝合并胃食管反流病的疗效分析[J].中国医师杂志,2016,18(8):1172-1175.
32 Fass R.An Overview of Transoral Incisionless Fundoplication and Magnetic Sphincter Augmentation for GERD[J].Gastroenterol Hepatol(N Y),2017,13(1):50-52.
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