Mutter D, Evrard S, Vix M, Keller P, Mendoza-Burgos L, Marescaux J
Chirurgie digestive et endocrinienne, Clinique chirurgicale A, Hôpitaux universitaires, Strasbourg.
Presse Med. 1993;22(16):771-3.
Ten patients presenting with hiatus hernia and gastro-oesophageal reflux underwent laparoscopic Nissen-Rossetti fundoplication. All patients had either medical treatment failure or invalidating reflux. At present, complete fundoplication is the most effective surgical treatment of gastro-oesophageal reflux. The laparoscopic procedure was rigorously identical with the habitually used "open" procedure, the only difference being the abdominal access. No laparotomy was necessary in our patients, and no major complication was observed. The follow-up showed good clinical results. Laparoscopy has been reported to decrease postoperative pain and ventilatory disorders. Morover, this minimally invasive surgical technique enables rapid resumption of social and professional activities.
十例患有食管裂孔疝和胃食管反流的患者接受了腹腔镜下尼森-罗塞蒂胃底折叠术。所有患者均有药物治疗失败或严重反流的情况。目前,完全胃底折叠术是治疗胃食管反流最有效的手术方法。腹腔镜手术与常用的“开放”手术严格相同,唯一的区别在于腹部入路。我们的患者无需开腹,也未观察到重大并发症。随访显示临床效果良好。据报道,腹腔镜手术可减轻术后疼痛和通气障碍。此外,这种微创手术技术能使患者迅速恢复社交和职业活动。