摘要
目的 探讨腹腔镜手术治疗超重患者胃食管反流病（gastroesophageal reflux disease,GERD）的临床效果.方法 2008年1月~2013年1月,对23例体重指数（BMI）26.1~29.7的超重GERD患者行腹腔镜治疗.单纯胃底折叠术5例（Toupet式）,18例合并食管裂孔疝者行食管裂孔疝修补加胃底折叠术（Nissen式4例,Toupet式14例）.结果 全组手术均获成功,手术时间85~225 min,平均117 min;术中出血量30~200 ml,平均70 ml;术后住院时间4~8 d,平均7 d.无中转开腹及死亡,无术后严重并发症.术后随访1~24个月,平均14个月,其中15例〉12个月,21例治愈,2例缓解.结论 腹腔镜食管裂孔疝修补和胃底折叠术治疗超重GERD患者效果满意.
Objective To explore the effectiveness of laparoscopic surgery in the treatment of overweight patients with gastroesophageal reflux disease （GERD）. Methods From January 2008 to January 2013, 23 cases of overweight GERD patients with body mass index （BMI） of 26.1 - 29.7 underwent laparoscopic treatment. Among them, simple fundoplication was performed in 5 cases （Toupet type） , and laparoseopic hiatal hernia repair and gastric folding was performed in 18 cases with hiatal hernia （Nissen type 4 cases, Toupet type 14 cases）. Results The operations were successfully performed in all patients. The mean operation time was 117 min （range, 85 -225 min）, and intraoperative blood loss was 70 ml （range, 30 -200 ml）. Postoperative hospital stay was 4 -8 d （mean, 7 d）. There was no conversion to open surgery, no severe postoperative complications or death. Postoperative follow-up of 1 -24 months （average, 14 months, including more than 12 months for 15 cases） showed 21 patients were cured and 2 were improved. Collclusion Laparoscopie hiatal hernia repair and fundoplication is an effective procedure for overweight GERD.
出处
《中国微创外科杂志》
CSCD
2014年第2期160-163,共4页
Chinese Journal of Minimally Invasive Surgery
关键词
超重
胃食管反流病
腹腔镜
胃底折叠术
Overweight
Gastroesophageal reflux disease
Laparoscope
Fundoplication
