Cuschieri A, Shimi S, Nathanson L K
Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, Scotland, United Kingdom.
Am J Surg. 1992 Apr;163(4):425-30. doi: 10.1016/0002-9610(92)90046-t.
A technique for laparoscopic reduction, crural repair, and total fundoplication for large symptomatic hiatal hernia is described. The procedure entails the mobilization of the esophagogastric junction with crural repair by a continuous suture technique employing a special pre-formed jamming loop knot, followed by total fundoplication that is fixed proximally to the anterior margin of the diaphragmatic hiatus and distally to the esophagogastric junction. The procedure has been performed in eight elderly patients with a good outcome and accelerated recovery to full activity.
本文描述了一种用于大型有症状食管裂孔疝的腹腔镜复位、脚修复和全胃底折叠术的技术。该手术包括通过使用特殊预制卡压环结的连续缝合技术来游离食管胃交界处并进行脚修复，随后进行全胃底折叠术，该折叠术近端固定于膈裂孔前缘，远端固定于食管胃交界处。该手术已在8例老年患者中实施，效果良好，患者恢复到完全活动状态的时间加快。
