Royston C M, Brough W A
Hull Royal Infirmary, UK.
Eur J Gastroenterol Hepatol. 1997 Aug;9(8):756-60. doi: 10.1097/00042737-199708000-00004.
Antireflux and peptic ulcer surgery are ideally suited for the minimal access approach. There is no need for tissue retrieval, nor any compromise of surgical principles. Over the last five years there has been a tremendous expansion in both the number and types of these laparoscopic procedures and there is little doubt that minimal access antireflux surgery is here to stay. Medical therapy is expensive and laparoscopic surgery, with a reduction in pain, hospital stay and rehabilitation, has become an economic alternative, with the most commonly performed procedure being the Nissen fundoplication. Peptic ulcer surgery has been slower to develop. The economic argument is not as powerful and it is unlikely that we will see much increase in laparoscopic surgical treatment except for complications such as perforation, stenosis and bleeding. As yet, series are relatively small with early results and we await with interest the long-term results.
抗反流手术和消化性溃疡手术非常适合微创入路。无需进行组织切除，也不会对手术原则造成任何损害。在过去五年中，这些腹腔镜手术的数量和类型都有了巨大的增长，毫无疑问，微创抗反流手术已成为一种主流术式。药物治疗费用高昂，而腹腔镜手术能减轻疼痛、缩短住院时间并加快康复，已成为一种经济的替代方案，其中最常见的手术是nissen胃底折叠术。消化性溃疡手术的发展较为缓慢。经济方面的优势并不明显，除了穿孔、狭窄和出血等并发症外，腹腔镜手术治疗的增长不太可能显著。目前，相关病例系列相对较小，且是早期结果，我们期待着长期结果。
