Cheng Cheng,Wu Yeming.Advances of laparoscopic fundoplication for children with congenital esophageal hiatal hernia[J].Journal of Clinical Pediatric Surgery,2019,18(12):1067-1071.[doi:10.3969/j.issn.1671-6353.2019.12.016]
腹腔镜手术治疗小儿先天性食管裂孔疝的研究进展
- Title:
- Advances of laparoscopic fundoplication for children with congenital esophageal hiatal hernia
- Keywords:
- Hernia; Hiatal/CN; Gastroesophageal Reflux; Laparoscopy; Fundoplication; Child
- 分类号:
- R726;R655.6
- 摘要:
- 小儿先天性食管裂孔疝主要由小儿膈肌先天性发育异常引起，治疗方式主要包括保守治疗和手术治疗。手术治疗原则包括将疝入的胃和食管复位、缝合修补膈肌缺损，并行胃底折叠术，以达到防止复发和抗反流的目的。现阶段，腹腔镜下食管裂孔疝修补术及胃底折叠术被外科医生和患儿家长广泛接受，其中胃底折叠术又可分为Nissen术、Nissen-Rossetti术、Thal术、Toupet术、Dor术等多种术式。本文将围绕小儿先天性食管裂孔疝相关术式选择的近期研究成果进行综述。
- Abstract:
- Congenital esophageal hiatal hernia is mainly caused by congenital dysplasia of diaphragm in children.Its treatment methods include conservative measures and surgery.The surgical goals include reducing impacted stomach and esophagus,repairing diaphragmatic defect and parallel fundoplication for preventing recurrence and anti-reflux.Currently laparoscopic hiatal hernia repair and fundoplication are widely accepted by both surgeons and parents.And the modes of fundoplication may be divided into Nissen,Nissen-Rossetti,Thal,Toupet and Dor.This review summarized recent researches of selecting surgical modes for congenital esophageal hiatal hernia in children.
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备注/Memo
收稿日期:2019-04-04。
通讯作者:吴晔明,Email:wuyeming@xinhuamed.com.cn