3D腹腔镜食管裂孔疝修补术八例治疗体会

目的探讨3D高清腹腔镜在食管裂孔疝修补术中的临床应用价值。 方法对徐州医学院附属淮安医院2014年11月至2015年2月，行3D腹腔镜食管裂孔疝修补术8例患者的临床资料进行回顾性分析，其中3例予以单纯缝合，5例使用补片。 结果8例均顺利进行3D腹腔镜下食管裂孔疝修补手术，无中转及死亡病例，平均手术时间为(110±18)min，平均出血量为(28±13)ml，恢复流质饮食时间为(2.0±0.3)d，平均住院时间为(8.9±2.5)d，无严重术后并发症的发生，术后1个月临床症状完全消失，未出现疝复发。 结论3D高清腹腔镜能实现精细化操作，使用3D腹腔镜行食管裂孔疝修补手术更方便，手术质量更高，并发症更少，并取得良好的近期疗效。

Application of three-dimensional laparoscopic hiatal hernia repair in 8 patients

ObjectiveTo investigate the application of three-dimensional laparoscopic paraesophageal hernia repair. MethodsThere were 8 patients from November 2014 to February 2015 underwent three-dimensional laparoscopic repair of hiatal hernia, 5 cases of them repaired with mesh and 3 cases of them without mesh. ResultsAll operation succeeded.The mean time of operation was(110±18)minutes, average intraoperative bleeding was(28±13)ml, the mean postoperative time of liquid intake was(2.0±0.3)days, the mean postoperative hospital stay was(8.9±2.5)days.No serious postoperative complications occurred.The clinical symptoms disappeared in one month after operation, and no recurrence occurred. ConclusionThe three-dimensional laparoscopic paraesophageal hernia repair may be performed safely and effectively with decreased surgical difficulties.