Wagner R B, Barry M J, Manney M S
Department of Surgery, Shady Grove Adventist Hospital, Rockville, Md, USA.
South Med J. 1997 Mar;90(3):338-40. doi: 10.1097/00007611-199703000-00016.
A patient with a large paraesophageal hernia had a Nissen fundoplication via laparoscopy. He returned a year later with the transverse colon herniated into the chest. At operation, the hernia ostium was found to be the aortic hiatus. We believe that the original ostium was missed because of the limited exposure of the video-laparoscopic technique.
一名患有巨大食管旁疝的患者通过腹腔镜进行了nissen胃底折叠术。一年后,他因横结肠疝入胸腔而再次就诊。手术中发现疝口为主动脉裂孔。我们认为,由于视频腹腔镜技术的暴露有限,最初的疝口被遗漏了。