Teh C H, Teoh T A, Chua C L
Department of General Surgery, Tan Tock Seng Hospital, Singapore.
Ann Acad Med Singap. 1996 Sep;25(5):717-9.
Laparoscopic Nissen fundoplication has rapidly become an established technique in the management of severe or complicated reflux oesophagitis. We describe our initial experience with laparoscopic Nissen fundoplication in a 54-year-old man with intractable severe haemorrhagic oesophagitis and a large sliding hiatus hernia. The Rossetti modification of Nissen fundoplication was used as this is a surgical procedure eminently suited for the laparoscopic approach since minimal dissection is needed. The operative time taken was 260 minutes, there was minimal blood loss, minimal postoperative analgesia requirement and early return of bowel function.
腹腔镜下尼氏胃底折叠术已迅速成为治疗严重或复杂性反流性食管炎的成熟技术。我们描述了对一名54岁患有顽固性严重出血性食管炎和巨大滑动性食管裂孔疝男性患者进行腹腔镜下尼氏胃底折叠术的初步经验。采用了罗塞蒂改良的尼氏胃底折叠术，因为该手术非常适合腹腔镜手术方法，所需的解剖操作极少。手术时间为260分钟，出血量极少，术后镇痛需求极小，肠道功能恢复早。
