摘要
目的探讨腹腔镜下行食管裂孔疝修补术、迷走神经切断术和胃间质瘤切除术的疗效和安全性。方法从1995年11月～2005年6月，行腹腔镜食管裂孔疝修补和胃底折替术30例、腹腔镜迷走神经切断术20例（15例采用迷走神经后干切断和前干高选择性切断术，4例行高选择性迷走神经切断术，1例行迷走神经干切断和胃空肠吻合术）和胃间质瘤切除术8例。结果手术时间1．0～4．5h，平均2．5h；24～72h后开始进流质。无术后并发症，术后3—7d出院。结论腹腔镜手术治疗食管裂孔疝、十二指肠球部溃疡和胃间质瘤，具有疗效确定、创伤小和恢复快的优点，腹腔镜手术很适合用于上消化道良性病变。
Objective To explore the efficacy and safety of laparoscopic paraesophageal hernia repair, laparoscopic vagotomy for duodenal ulcer, and laparoscopic resection for gastric benign tumor. Methods Thirty patients underwent laparoscopic paraesophageal hernia repair, twenty patients underwent laparuscopic vagotomy for the treatment of duodenal ulcer （fifteen anterior highly selective vagotomy and posterior truncal vagotomy, four anterior and posterior highly selective vagotomy, one truncal vagotomy and gastrojejunostomy）, and eight underwent laparoscopic resection for gastric benign tumor between Nov. 1995 and June 2005. Results Laparoscopy was completed in all patients, no conversion from laparescopic to open surgery were necessary.The operation time averaged 2.5 hours （range 1.0 - 4.5 hours）, postoperative oral feedings were resumed after 24 - 72 hours of surgery, and no postoperative complication occurred. The median postoperative hospital stay was 5 days （range 3 - 7 days ） . Conclusion Laparoscopic surgery is a effective and safe surgical procedure, and has the merit of minimal invasive surgery for the patients with upper GI benign diseases.
出处
《医学研究杂志》
2006年第3期54-55,共2页
Journal of Medical Research
关键词
腹腔镜术
食管裂孔疝
十二指肠溃疡
胃间质瘤
Laparoscopy
Paraesophageal hernia
Duodenal ulcer
Gastric benign tumor
