中华普通外科杂志2024,Vol.39Issue(7) :550-553.DOI:10.3760/cma.j.cn113855-20231203-00387

自体组织覆盖补片腹腔镜食管裂孔疝修补术的临床应用

Laparoscopic hiatal hernia repair with autologous tissue-covered mesh

赛甫丁·艾比布拉 艾克拜尔·艾力 李义亮 克力木·阿不都热依木
中华普通外科杂志2024,Vol.39Issue(7) :550-553.DOI:10.3760/cma.j.cn113855-20231203-00387

自体组织覆盖补片腹腔镜食管裂孔疝修补术的临床应用

Laparoscopic hiatal hernia repair with autologous tissue-covered mesh

赛甫丁·艾比布拉 1艾克拜尔·艾力 1李义亮 1克力木·阿不都热依木1
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作者信息

  • 1. 新疆维吾尔自治区人民医院微创、疝和腹壁外科,乌鲁木齐 830001
  • 折叠

摘要

目的 探讨自体组织覆盖补片腹腔镜食管裂孔疝修补术预防食管裂孔疝补片相关并发症的临床应用价值.方法 回顾性分析2020年11月至2021年10月新疆维吾尔自治区人民医院微创、疝和腹壁外科完成的21例自体组织覆盖补片腹腔镜食管裂孔疝修补术患者的临床资料.结果 21例患者顺利完成自体组织覆盖补片腹腔镜食管裂孔疝修补术.无中转开腹或开胸手术.手术时间 90~180(137.1±26.1)min,术中出血量 10~30(20.5±8.1)ml,术后住院时间 3~11(5.7±2.5)d.21例患者中20例获得随访.随访16~26(23.0±2.6)个月,均未发现补片侵蚀、补片移位等并发症,未发现疝复发.结论 自体组织覆盖补片腹腔镜食管裂孔疝修补术可减少补片侵蚀、补片移位等补片相关并发症的发生,安全可行.

Abstract

Objective To investigate the clinical result of laparoscopic hiatal hernia repair with autologous tissue-covered mesh.Methods The clinical data of 21 patients who underwent laparoscopic hiatal hernia repair with autologous tissue-covered mesh at Department of Minimally Invasive,Hernia and Abdominal Wall Surgery,People's Hospital of Xinjiang Uyghur Autonomous Region from Nov 2020 to Oct 2021 was retrospectively analyzed.Results All the 21 patients underwent the surgery successfully by laparoscopic hiatal hernia repair with autologous tissue-covered mesh.There was no convertion to open operation.The mean operation time was(137.1±26.1)minutes.The mean intraoperative blood loss was(20.5±8.1)ml.The length of postoperative hospital stay was(5.7±2.5)days.Of all the 21 patients,there were 20 patients followed up for 16 to 26 months,and the mean follow-up time was(23.0±2.6)months.There were no mesh erosion,no mesh migration nor hernia recurrence occurred.Conclusion Laparoscopic hiatal hernia repair with autologous tissue-covered mesh is safe and feasible,it can reduce mesh related complications such as mesh erosion,mesh migration.

关键词

疝,食管裂孔/疝修补术/预防

Key words

Hernia,hiatal/Herniorrhaphy/Prevention

引用本文复制引用

出版年

2024
中华普通外科杂志
中华医学会

中华普通外科杂志

CSTPCD北大核心
影响因子:1.11
ISSN:1007-631X
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