Yvergneaux J P, Berghs B, Kint M
A.Z. Heilige Familie, Ghent, Belgium.
Acta Chir Belg. 1996 Nov-Dec;96(6):280-3.
In experienced hands, the value of the laparoscopic Nissen fundoplication as antireflux correction is established. The case report concerns a woman who underwent an emergency laparotomy for acute intrathoracic stomach volvulus with incarceration, one year after a laparoscopic Nissen fundoplication was carried out without closure of the diaphragmatic hiatus. In literature acute postoperative paraoesophageal hernia with intrathoracic migration of the stomach as an early and late complication of the laparoscopic fundoplication has already been reported. The authors advocate the closure of the diaphragmatic crura as a routine manoeuvre during the laparoscopic fundoplication.
在经验丰富的医生手中，腹腔镜下尼氏胃底折叠术作为抗反流矫正术的价值已得到确立。该病例报告涉及一名女性，她在接受腹腔镜下尼氏胃底折叠术且未闭合膈裂孔一年后，因急性胸腔内胃扭转伴嵌顿而接受了急诊剖腹手术。文献中已报道过腹腔镜胃底折叠术的早期和晚期并发症包括急性术后食管旁疝伴胃向胸腔内移位。作者主张在腹腔镜胃底折叠术期间常规闭合膈脚。
