Leonardi H K, Ellis F H
Surg Clin North Am. 1983 Dec;63(6):1155-65. doi: 10.1016/s0039-6109(16)43179-8.
A more astute selection of patients and greater attention to technical details will preclude most complications. The first step is standardizing the technique, with avoidance of unnecessary ancillary maneuvers. Equally important is a thorough preoperative evaluation. With these considerations in mind, the authors believe that Nissen fundoplication is the preferred method of treatment for patients with uncomplicated gastroesophageal reflux refractory to medical therapy.
对患者进行更敏锐的筛选并更加注重技术细节将避免大多数并发症。第一步是规范技术,避免不必要的辅助操作。同样重要的是进行全面的术前评估。考虑到这些因素,作者认为,对于药物治疗无效的单纯性胃食管反流患者,nissen胃底折叠术是首选的治疗方法。