Xu Guang,Zhou Chonggao,Wang Haiyang,et al. A comparative study of laparoscopy versus open surgery for congenital hiatal hernia in infants aged under 3 months.[J].Journal of Clinical Pediatric Surgery,,18():39-44.
A comparative study of laparoscopy versus open surgery for congenital hiatal hernia in infants aged under 3 months.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第18卷
Number:
2019 01
Page:
39-44
Column:
论著
Date of publication:
2019-01-20
- Keywords:
- ; Hernia Hiatal; Nissen Surgery; Laparoscopy; Comparative Study
- Document code:
- A
- Abstract:
- ObjectiveTo compare the efficacies of laparoscopy versus open surgery for congenital hiatal hernia in infants aged under 3 months.MethodsRetrospective analysis was performed for the clinical data of 61 surgical infants with congenital hiatal hernia aged under 3 months from January 2008 to June 2017.Laparoscopic esophageal hiatus repair plus Nissen fundoplication (laparoscopic group,n=31) and open esophageal hiatus repair plus Nissen fundoplication (open group,n=30) were performed.Operative duration,postoperative time to milk feeding,length of postoperative hospital stay and postoperative complications were compared between two groups.ResultsThe laparoscopic group had a longer operation time than the open group［(141.0±31.0) min vs. (121.2±26.4) min, P=0.011］,shorter median postoperative time to milk feeding (2.0 vs.4.0 days,P＝0.000) and shorter median length of postoperative hospital stay (7.0 vs.10.5 days,P＝0.000).There were significant intergroup differences.In laparoscopic group,there were anastomotic recurrence (n=3,9.7%),esophageal stenosis (n=1,3.2%) and reoperation (n=2,6.5%).In open group,there were anastomotic recurrence (n=2,6.7%),wound dehiscence (n=5,16.7%),adhesive intestinal obstruction (n=1,3.3%) and reoperation (n=2,6.7%).The incidence of wound dehiscence was lower in laparoscopy group than that in open group and the differences were statistically significant (P<0.05).Significant intergroup differences existed in anatomic recurrence,esophageal stenosis,adhesive intestinal obstruction and reoperation (P>0.05).The median postoperative followup period was 38 (6-60) months.All developed well and there was no occurrence of vomiting.ConclusionBoth safe and effective for congenital hiatal hernia in infants,laparoscopic esophageal hiatus repair and Nissen fundoplication offer many advantages of less trauma,faster postoperative recovery and fewer complications as compared with open surgery.
Last Update:
2019-01-22