Farlo J, Thawgathurai D, Mikhail M, Yaker K, Sullivan J, Morgan E
Department of Anesthesiology and Critical Care, University of Southern California, Kenneth Norris Jr. Cancer Hospital, Los Angeles 90033, USA.
Eur J Anaesthesiol. 1998 Mar;15(2):246-7.
Laparoscopic Nissen fundoplication is becoming a popular technique in the surgical management of reflux disease. The advantages of laparoscopic surgery include shorter hospital stays, greater patient acceptance and decreased overall morbidity. Laparoscopic surgery eliminates the necessity for an upper abdominal incision and the consequent post-operative impairment of pulmonary mechanics. Laparoscopic Nissen fundoplication has been associated with a low incidence of severe peri-operative complications although of a different nature to those following the open procedure. We are reporting a rare case of acute cardiovascular collapse secondary to cardiac tamponade during laparoscopic Nissen fundoplication.
腹腔镜下尼森胃底折叠术正成为反流性疾病外科治疗中的一种常用技术。腹腔镜手术的优点包括住院时间缩短、患者接受度更高以及总体发病率降低。腹腔镜手术消除了上腹部切口的必要性以及随之而来的术后肺力学功能损害。腹腔镜下尼森胃底折叠术的严重围手术期并发症发生率较低，尽管其性质与开放手术不同。我们报告了一例腹腔镜下尼森胃底折叠术期间继发于心包填塞的急性心血管衰竭罕见病例。
