Ablassmaier B, Steinhilper U, Bandl W D, Ziehen T
Chirurgische Abteilung, Kreiskrankenhaus München-Pasing.
Chirurg. 1995 Apr;66(4):424-7.
We report the case of a 54-year-old patient with up-side-down-stomach with recurrent gastric bleeding. Reposition of the stomach, closure of the diaphragmatic opening with interrupted silk sutures, fundophrenicopexy and corpopexy to the anterior abdominal wall was done laparoscopically. Because the patient presented no reflux symptoms, but hypomotility of the oesophagus, no fundoplication was done. To prevent recurrence of the hernia a polypropylene mesh was fixed over the hiatus.
我们报告了一例54岁患有胃倒置并反复出现胃出血的患者。通过腹腔镜进行了胃复位、用间断丝线缝合关闭膈肌开口、胃底固定术以及将胃体固定于前腹壁。由于该患者未出现反流症状，仅存在食管动力不足，因此未进行胃底折叠术。为防止疝复发，在裂孔上方固定了一块聚丙烯补片。
