Cattey R P, Henry L G, Bielefield M R
Milwaukee Institute of Minimally Invasive Surgery, Columbia Hospital, WI 53211, USA.
Surg Laparosc Endosc. 1996 Dec;6(6):430-3.
Using retrospective chart review, the authors evaluated the results of laparoscopic Nissen fundoplication in their first 100 patients. All patients were diagnosed with gastroesophageal reflux disease. More than 90% of the patients in this series were symptomatically improved, and 92% of those studied endoscopically had healed esophagitis and intact fundoplication. No deaths, esophageal injuries, or splenic injuries occurred. Laparoscopic fundoplication can be performed safely and efficiently. Using a linear stapler enables rapid and safe fundi mobilization. Selective manometrics and ambulatory pH monitoring provide excellent results. Laparoscopic Nissen is safe and as effective as the open procedure. Research centers have noted some differences in postoperative function of the lower esophageal sphincter, but symptomatically patient satisfaction is comparable.
作者通过回顾性病历审查，评估了他们首批100例患者的腹腔镜Nissen胃底折叠术的结果。所有患者均被诊断为胃食管反流病。该系列中超过90%的患者症状得到改善，在内镜检查的患者中，92%的患者食管炎愈合且胃底折叠术完好无损。未发生死亡、食管损伤或脾损伤。腹腔镜胃底折叠术可以安全有效地进行。使用线性吻合器能够快速安全地游离胃底。选择性测压和动态pH监测提供了良好的结果。腹腔镜Nissen手术安全且与开放手术效果相当。研究中心注意到食管下括约肌术后功能存在一些差异，但在症状方面患者满意度相当。
