腹腔镜胆囊切除术、胃底折叠术联合脐疝修补术同期治疗食管裂孔疝

SIMULTANEOUS HIATAL HERNIA PLASTICS WITH FUNDOPLICATION, LAPAROSCOPIC CHOLECYSTECTOMY AND UMBILICAL HERNIA REPAIR.

机构信息

STATE INSTITUTION «INSTITUTE OF GENERAL AND EMERGENCY SURGERY NAMED AFTER V.T. ZAITSEV OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE», KHARKIV, UKRAINE.

KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE.

出版信息

Wiad Lek. 2021;74(1):168-171.

PMID:33851610

Abstract

The article presents a case report of patients with multimorbid pathology - hiatal hernia with gastroesophageal reflux disease, cholecystolithiasis and umbilical hernia. Simultaneous surgery was performed in all cases - laparoscopic hiatal hernia with fundoplication, laparoscopic cholecystectomy and umbilical hernia alloplasty (in three cases - by IPOM (intraperitoneal onlay mesh) method and in one - hybrid alloplasty - open access with laparoscopic imaging). After the operation in one case there was an infiltrate of the trocar wound, in one case - hyperthermia, which were eliminated by conservative methods. The follow-up result showed no hernia recurrences and clinical manifestations of gastroesophageal reflux disease.

摘要

本文报告了一例多系统疾病患者的病例，包括食管裂孔疝伴胃食管反流病、胆囊结石和脐疝。所有病例均同时进行手术治疗：腹腔镜食管裂孔疝修补术、腹腔镜胆囊切除术和脐疝整形术（三种情况采用 IPOM（腹腔内补片修补术）方法，一种情况采用混合整形术——开放手术联合腹腔镜成像）。一例术后发生套管针伤口浸润，一例出现发热，均通过保守方法治愈。随访结果显示无疝复发和胃食管反流病的临床表现。