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本文引用的文献

1
Pathophysiology of gastroesophageal reflux disease.胃食管反流病的病理生理学。
Best Pract Res Clin Gastroenterol. 2013 Jun;27(3):339-51. doi: 10.1016/j.bpg.2013.06.002.
2
What is the best prosthetic material for patch repair of congenital diaphragmatic hernia? Comparison and meta-analysis of porcine small intestinal submucosa and polytetrafluoroethylene.用于先天性膈疝修补的最佳补片材料是什么？猪小肠黏膜下层与聚四氟乙烯的比较及荟萃分析。
J Pediatr Surg. 2012 Aug;47(8):1496-500. doi: 10.1016/j.jpedsurg.2012.01.009.
3
Biologic prosthesis to prevent recurrence after laparoscopic paraesophageal hernia repair: long-term follow-up from a multicenter, prospective, randomized trial.生物补片预防腹腔镜食管裂孔疝修补术后复发：一项多中心前瞻性随机试验的长期随访结果。
J Am Coll Surg. 2011 Oct;213(4):461-8. doi: 10.1016/j.jamcollsurg.2011.05.017. Epub 2011 Jun 29.
4
Late mesh migration through the stomach wall after laparoscopic refundoplication using a dual-sided PTFE/ePTFE mesh.腹腔镜胃底折叠术后使用双面膨体聚四氟乙烯/膨化聚四氟乙烯补片导致的迟发性网片迁移至胃壁。
Hernia. 2011 Apr;15(2):217-20. doi: 10.1007/s10029-010-0633-8. Epub 2010 Feb 4.
5
Elastic fiber depletion in the supporting ligaments of the gastroesophageal junction: a structural basis for the development of hiatal hernia.胃食管交界处支持韧带中的弹性纤维损耗：食管裂孔疝发生的结构基础。
J Am Coll Surg. 2008 Aug;207(2):191-6. doi: 10.1016/j.jamcollsurg.2008.02.036. Epub 2008 May 19.
6
Complications of PTFE mesh at the diaphragmatic hiatus.聚四氟乙烯网片在膈食管裂孔处的并发症。
J Gastrointest Surg. 2008 May;12(5):953-7. doi: 10.1007/s11605-007-0316-7. Epub 2007 Sep 18.
7
Mesh migration into the esophageal wall after mesh hiatoplasty: comparison of two alloplastic materials.胃底折叠术网片植入术后网片向食管壁内移位：两种人工合成材料的比较
Surg Endosc. 2007 Dec;21(12):2298-303. doi: 10.1007/s00464-007-9514-3. Epub 2007 Aug 19.
8
Laparoscopic antireflux surgery: long-term outcomes and quality of life.
J Laparoendosc Adv Surg Tech A. 2006 Dec;16(6):557-61. doi: 10.1089/lap.2006.16.557.
9
Laparoscopic Nissen fundoplication with prosthetic hiatal closure reduces postoperative intrathoracic wrap herniation: preliminary results of a prospective randomized functional and clinical study.采用人工食管裂孔闭合术的腹腔镜Nissen胃底折叠术可减少术后胸腔内胃底折叠疝形成：一项前瞻性随机功能与临床研究的初步结果
Arch Surg. 2005 Jan;140(1):40-8. doi: 10.1001/archsurg.140.1.40.
10
Teflon pledget reinforced fundoplication causes symptomatic gastric and esophageal lumenal penetration.聚四氟乙烯棉垫加强胃底折叠术可导致有症状的胃和食管腔穿透。
Am J Surg. 2004 Feb;187(2):226-9. doi: 10.1016/j.amjsurg.2003.11.028.

[腹腔镜抗反流手术联合生物补片治疗胃食管反流病]

[Laparoscopic anti-reflux surgery with biological mesh in treatment of gastroesophageal reflux disease].

作者信息

Lv Jie-Min, Huang Di-Yu, Lin Hui, Wang Xian-Fa

机构信息

Department of General Surgery, Sir Run Run Shaw Hosptial, Zhejiang University School of Medicine, Hangzhou 310016, China.

出版信息

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2015 Jan;44(1):74-8. doi: 10.3785/j.issn.1008-9292.2015.01.012.

DOI:10.3785/j.issn.1008-9292.2015.01.012
PMID:25851979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10396982/
Abstract

OBJECTIVE

To evaluate the application of biological mesh in laparoscopic anti-reflux procedure for gastroesophageal reflux disease (GERD).

METHODS

The clinical data of 20 consecutive GERD patients underwent anti-reflux surgery in Sir Run Run Shaw Hospital from December 2012 to April 2014 were retrospectively analyzed. The laparoscopic hiatal repair with 360 fundoplicaiton was performed and the biological mesh (BiodesignTM, Surgsis) was implanted for reinforcement of hiatal repair.

RESULTS

All laparoscopic procedures were successful, no conversion and no intra-operative complications occurred. The pre-operative complains were relieved in all patients, and no recurrence was observed during 3-18 month of follow-up. Six patients got dysphagia after operation; 5 of them were controlled through medication and psychological induction; 1 received esophageal dilatation by bougie.

CONCLUSION

The application of biological mesh in laparoscopic anti-reflux procedure for gastroesophageal reflux disease is satisfactory.

摘要

目的

评估生物补片在腹腔镜抗反流手术治疗胃食管反流病（GERD）中的应用。

方法

回顾性分析2012年12月至2014年4月在浙江大学医学院附属邵逸夫医院连续接受抗反流手术的20例GERD患者的临床资料。行腹腔镜下食管裂孔修补术加360°胃底折叠术，并植入生物补片（BiodesignTM，Surgsis）加强食管裂孔修补。

结果

所有腹腔镜手术均成功，无中转开腹，无术中并发症发生。所有患者术前症状均缓解，随访3 - 18个月无复发。6例患者术后出现吞咽困难，其中5例通过药物及心理疏导得到控制，1例行食管探条扩张术。

结论

生物补片在腹腔镜抗反流手术治疗胃食管反流病中的应用效果良好。