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[复发性胃食管反流病和食管裂孔疝的再次腹腔镜手术]

[Redo laparoscopic surgery for recurrent gastroesophageal reflux disease and hiatal hernia].

作者信息

Gallyamov E A, Lutsevich O E, Kubyshkin V A, Erin S A, Agapov M A, Presnov K S, Busyrev Yu B, Gallyamov E E, Gololobov G Yu, Zryanin A M, Starkov G A, Tolstykh M P

机构信息

Sechenov First Moscow State Medical University of Healthcare Ministry of the Russia, Moscow, Russia; Central Clinical Hospital of Civil Aviation, Moscow, Russia.

Evdokimov Moscow State University of Medicine and Dentistry of Healthcare Ministry of the Russia Russia, Moscow, Russia.

出版信息

Khirurgiia (Mosk). 2019(2):26-31. doi: 10.17116/hirurgia201902126.

Abstract

AIM

To assess mechanisms of recurrent gastroesophageal reflux disease and the ability to perform adequate surgical correction after previous surgery.

MATERIAL AND METHODS

The authors from various surgical centers have operated 2678 patients with gastroesophageal reflux disease and hiatal hernia for the period 1993-2018. 127 (4.74%) patients underwent redo surgery for recurrent disease, 46 of them were previously operated in other clinics.

RESULTS

Median follow-up after redo surgery was 63 months (12-139). Satisfactory functional result was achieved in 76.4% of patients.

摘要

目的

评估复发性胃食管反流病的机制以及既往手术后进行充分手术矫正的能力。

材料与方法

来自各个外科中心的作者在1993年至2018年期间为2678例胃食管反流病和食管裂孔疝患者实施了手术。127例(4.74%)患者因复发性疾病接受了再次手术,其中46例曾在其他诊所接受过手术。

结果

再次手术后的中位随访时间为63个月(12 - 139个月)。76.4%的患者获得了满意的功能结果。

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