Troch P, Jansen H
Can Oper Room Nurs J. 1994 Sep-Oct;12(3):13-8.
The preferred treatment of gastroesophageal reflux has traditionally been Nissen fundoplication. This involves an extensive abdominal or thoracic incision and subsequently results in patient discomfort, an extended recovery period, and increased overall costs. In the advent of laparoscopic advances surgical correction of symptoms of gastroesophageal reflux are now being offered through minimal access surgery. Increased patient satisfaction, decreased costs, and a quicker return to activities of daily living, suggest why laparoscopic Nissen fundoplication, (LNF) is fast becoming the preferred alternative to correction of gastroesophageal reflux disease. This article will review gastroesophageal reflux and describe one surgical method of laparoscopic correction. The role of the perioperative nurse and implementation of the nursing process regarding this surgical procedure will be highlighted.
传统上，胃食管反流的首选治疗方法是nissen胃底折叠术。这需要进行广泛的腹部或胸部切口，随后会导致患者不适、恢复时间延长以及总体成本增加。随着腹腔镜技术的进步，现在可以通过微创手术来治疗胃食管反流症状。患者满意度提高、成本降低以及更快恢复日常生活，这些都说明了为什么腹腔镜nissen胃底折叠术（LNF）正迅速成为治疗胃食管反流病的首选替代方法。本文将回顾胃食管反流，并描述一种腹腔镜矫正的手术方法。将重点介绍围手术期护士的作用以及针对该手术的护理程序的实施。
