Stavropoulos George, Flessas Ioannis I, Mariolis-Sapsakos Theodoros, Zagouri Flora, Theodoropoulos George, Toutouzas Konstantinos, Michalopoulos Nikolaos V, Triantafyllopoulou Ioanna, Tsamis Dimitrios, Spyropoulos Basilios G, Zografos George C
Hygeia Hospital, Athens, Greece.
Am Surg. 2012 Apr;78(4):432-5.
Giant paraesophageal hernias (PEHs) are associated with progression of symptoms in up to 45 per cent of patients. Recently, many series have reported that laparoscopic repair of PEH is technically feasible, effective, and safe. A retrospective review of the University of Athens tertiary care hospitals patient database and the patient medical records identified 45 patients who underwent elective repair of a giant PEH between 2002 and 2009. Elective laparoscopic repair of a giant PEH was attempted in 45 patients who were treated with Gore-Tex dual mesh with or without Nissen fundoplication. They all had a mesh repair. Intraoperative complications included one pulmonary embolism and one recurrent hernia. The use of a mesh seems to be effective in the treatment of large hernias. It appears to offer the benefit of a shorter hospital stay and a quicker recovery.
巨大食管旁疝(PEH)在高达45%的患者中与症状进展相关。最近,许多系列报道指出,腹腔镜修复PEH在技术上可行、有效且安全。对雅典大学三级护理医院患者数据库和患者病历进行的回顾性研究确定了2002年至2009年间接受巨大PEH择期修复的45例患者。45例患者尝试了巨大PEH的择期腹腔镜修复,使用了带或不带Nissen胃底折叠术的戈尔特斯双网片进行治疗。他们均接受了网片修复。术中并发症包括1例肺栓塞和1例复发性疝。使用网片似乎对大型疝的治疗有效。它似乎具有缩短住院时间和更快康复的益处。