腹腔镜下补片修补食管裂孔疝的研究进展  

Research progress of laparoscopic mesh repair for hiatal hernia

作　　者：韩硕 杨慧琪 聂玉胜[2] 陈杰[2] Han Shuo;Yang Huiqi;Nie Yusheng;Chen Jie(the Third Clinical Medical College of Capital Medical University,Beijing 100043,China;Hernia and abdominal wall surgery,Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing 100043,China)

机构地区：[1]首都医科大学第三临床医学院,北京100043 [2]首都医科大学附属北京朝阳医院疝和腹壁外科,100043

出　　处：《中华疝和腹壁外科杂志（电子版）》2022年第1期8-13,共6页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：食管裂孔疝的首选治疗方法是手术治疗,腹腔镜微创治疗具有创伤小、恢复快及术后并发症较少等优点,目前已成为食管裂孔疝修补术的首选手术方式。腹腔镜下食管裂孔疝单纯缝合修补术在关闭较大裂孔缺损时会产生较大张力,远期有产生破裂的风险,其术后复发率高达42%。鉴于此,补片加强修补越来越广泛地应用于食管裂孔疝修补术中,但是目前在补片的应用指征、补片的材料、材料形状、补片的固定以及并发症的预防等方面仍无统一的标准,存在较大的争议,手术治疗大部分仍依靠外科医师的临床经验,本文就补片应用于腹腔镜下食管裂孔疝修补术中的热点问题进行回顾和总结。The first choice of treatment for hiatal hernia is surgery.Laparoscopic minimally invasive treatment has the advantages of less trauma,fast recovery and less postoperative complications,and has become the first choice for hiatal hernia repair at present.Laparoscopic repair of hiatal hernia with suture alone will produce great tension when closing large hiatal defect,with risk of rupture in the long term.The recurrence rate is as high as 42%.In view of this reason,mesh reinforcement repair is more and more widely used in hiatal hernia repair.However,there is still no unified standard in the application indication,material,shape,fixation and prevention of complications of the mesh,and there is a big controversy.Most surgical treatment still depends on the clinical experience of surgeons.This article reviews and summarizes the hot issues of mesh application in laparoscopic hiatal hernia repair.

关 键 词：食管裂孔疝 疝修补术 补片修补 腹腔镜 

分 类 号：R655.4[医药卫生—外科学]