Division of General Thoracic Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
Ann Thorac Surg. 2011 Mar;91(3):932-4. doi: 10.1016/j.athoracsur.2010.07.090.
Laparoscopic Nissen fundoplication is effective for treating gastroesophageal reflux and is usually well tolerated. Some patients, however, experience postoperative dysphagia refractory to conservative measures. We report our experience and operative technique for laparoscopic conversion of previous laparoscopic Nissen fundoplication to partial fundoplication to relieve dysphagia. We retrospectively reviewed the medical records of 6 patients with refractory dysphagia after laparoscopic Nissen fundoplication who underwent laparoscopic conversion to partial fundoplication using a laparoscopic linear stapler. There were no perioperative deaths and no fundoplication-related complications. In short-term follow-up, all patients reported improvement of dysphagia symptoms.
腹腔镜 Nissen 胃底折叠术治疗胃食管反流病效果确切，通常患者耐受性良好。但部分患者术后出现保守治疗无效的吞咽困难。我们报告腹腔镜 Nissen 胃底折叠术转为部分胃底折叠术以缓解吞咽困难的经验和手术技术。我们回顾性分析了 6 例行腹腔镜 Nissen 胃底折叠术转为部分胃底折叠术治疗术后吞咽困难的患者，采用腹腔镜直线切割吻合器。无围手术期死亡和与胃底折叠术相关的并发症。短期随访所有患者吞咽困难症状均有改善。
