Bokor L, Hajdu Z, Szegedi Z, Kathy S, Bagi R
Department of General Surgery, Kenézy Teaching Hospital of University Medical School of Debrecen, Budapest.
Acta Chir Hung. 1997;36(1-4):41-2.
The method of laparoscopic repair of hiatal hernia is accepted in surgery. Usually associated with Nissen fundoplication which is the most commonly performed antireflux operation. Within a ten-year period authors have done 90 antireflux operations, 52 was laparoscopic procedures. (30 operations for GERD, 10 for hiatal hernia, 12 for the combination of both.) A patient was submitted to operation with large hiatal hernia. He was treated laparoscopic way with success and good results. The Ultracision Harmonic Scalpel instrument helped their operation in many ways, and provided correct bloodless preparation of cardiac region. The authors demonstrate our procedure and the use of the Harmonic Scalpel. Their patient were completely pleased with the results after discharge, they are still under regular control.
腹腔镜下食管裂孔疝修补术在外科手术中已被广泛接受。通常与尼森胃底折叠术联合进行，尼森胃底折叠术是最常用的抗反流手术。在十年时间里，作者共进行了90例抗反流手术，其中52例为腹腔镜手术。（30例为胃食管反流病手术，10例为食管裂孔疝手术，12例为两者合并手术。）一名患有巨大食管裂孔疝的患者接受了手术。他通过腹腔镜手术治疗获得成功，效果良好。超声刀器械在很多方面帮助了他们的手术，并为贲门区域提供了正确的无血术野准备。作者展示了我们的手术过程以及超声刀的使用。他们的患者出院后对结果非常满意，目前仍在定期接受检查。
