Jones Rachel, Tadaki Carl, Oleynikov Dmitry
Southcoast Physicians Group, Southcoast Center for Weight Loss, 100 Rosebrook Way, Suite 300, Wareham, MA, 02571, USA,
Surg Endosc. 2015 Mar;29(3):736. doi: 10.1007/s00464-014-3728-y. Epub 2014 Oct 8.
Esophageal shortening can be seen in patients with chronic inflammation associated with gastroesophageal reflux disease and paraesophageal hernias. During surgical treatment of these conditions, it is important to address the esophageal shortening during the operation for optimal outcomes. Ideally, 2.5-3 cm of tension-free intraabdominal esophagus is recommended. During this video, we show a redo paraesophageal hernia repair in which we were unable to achieve adequate esophageal lengthening despite extensive mediastinal dissection. We therefore proceeded with Collis gastroplasty with Toupet fundoplication.
食管缩短可见于患有与胃食管反流病和食管旁疝相关的慢性炎症的患者。在这些疾病的手术治疗过程中，术中处理食管缩短对于获得最佳治疗效果很重要。理想情况下，建议游离出2.5 - 3厘米无张力的腹段食管。在本视频中，我们展示了一例食管旁疝修复术的再次手术，尽管进行了广泛的纵隔解剖，但我们仍无法实现足够的食管延长。因此，我们进行了科利斯胃成形术加图佩特胃底折叠术。
