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Laparoscopic surgical treatment of esophageal hiatal hernia

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Author:: No author available

Journal Title:: World Chinese Journal of Digestology

Issue:: 20

DOI:: 10.11569/wcjd.v24.i20.3087

Key Word:: 食管裂孔疝;微创外科;腹腔镜;Esophageal hiatal hernia;Minimally invasive surgery;Laparoscope

Abstract：食管裂孔疝根据分型,其Ⅱ、Ⅲ、Ⅳ型因为明显的临床症状和可能的致命并发症,通常需要及时的外科手术治疗.在过去的二十年间,腹腔镜逐步应用于食管裂孔疝的手术治疗,并显示出作为微创外科的优势,代替了相当部分传统的开放式手术,目前已在全球多家医疗单位开展.本文拟对当前腹腔镜用于治疗食管裂孔疝的现状及未来展望予以综述.通过PubMed、Cochrane Library、EMBASE等数据库检索关于食管裂孔疝微创手术治疗的文献报道.通过检索,删除参考价值不大的文献,自1992-2015年,共有86篇英文文献介绍食管裂孔疝的腹腔镜治疗,共计纳入4771例患者.本文总结了腹腔镜在食管裂孔疝修补中的特点,包括:安全性、技术可行性、术后康复、并发症以及术后短长期治疗效果等指标.经过二十余年的发展,相比较开放式手术,腹腔镜修补食管裂孔疝是一项安全、技术可行、微创、术后恢复快、低并发症的外科技术,并具有较低的术后复发率,应用前景广阔.

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