Division of Thoracic and Foregut Surgery, Swedish Medical Center and Swedish Cancer Institute, Seattle, WA 98014, USA.
Am J Surg. 2011 May;201(5):599-604. doi: 10.1016/j.amjsurg.2011.02.002.
Long-term (> 5 years) studies of antireflux operations are needed. This study evaluates long-term results of the open Hill repair at multiple institutions.
This is a retrospective cohort study of open Hill repairs from 1972 to 1997 at 5 North American medical centers with a mean follow-up of 10 years. Objective data and standardized clinical outcomes were collected at a central site. Subjective results, medication use, and satisfaction scales were obtained through scripted phone interview. Results between 2 Hill-trained centers and 3 independent centers were compared.
One thousand one hundred eighty-one patients met the inclusion criteria. Symptomatic improvement was found in 97% and good to excellent results in 93%. Medication use was markedly reduced. Hiatal hernia recurrence was found in 77 (6.9%); the reoperation rate was 1.9%. Differences in outcomes between Hill centers and independent centers were minor.
Excellent results with the open Hill repair are durable beyond 10 years and are reproducible. Anatomic recurrence and reoperative rates are low.
需要进行长期（>5 年）的抗反流手术研究。本研究评估了在多个机构进行的开放式 Hill 修复的长期结果。
这是一项回顾性队列研究，对 1972 年至 1997 年在北美 5 家医疗中心进行的开放式 Hill 修复进行研究，平均随访时间为 10 年。在一个中心地点收集客观数据和标准化临床结果。通过脚本电话访谈获得主观结果、药物使用和满意度量表。比较了 2 个接受过 Hill 培训的中心和 3 个独立中心之间的结果。
1181 名患者符合纳入标准。97%的患者症状改善，93%的患者结果良好或优秀。药物使用明显减少。疝复发率为 77%（6.9%）；再次手术率为 1.9%。Hill 中心和独立中心之间的结果差异较小。
开放式 Hill 修复的出色结果在 10 年以上仍然持久，并且具有可重复性。解剖学复发和再次手术的比率较低。
