[Laparoscopic repair of hiatal hernia after minimally invasive esophagectomy].

Q4 Medicine
A B Ryabov, V M Khomyakov, N M Abdulkhakimov, A V Chaika
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引用次数: 0

Abstract

Postoperative hiatal hernia is a rare and specific complication after esophagectomy. This complication leads to emergency and affects mortality. Incidence of this complication has increased due to the great number of minimally invasive procedures over the past decades. In addition, chronic cough, preoperative hiatal hernia and transhiatal approach also increase the risk of recurrent hernias. Most post-esophagectomy hiatal hernias do not require emergency surgery. About 70% of patients have symptoms reducing the quality of life. About 25% of cases are asymptomatic and discovered incidentally during follow-up examinations. The role of surgery for asymptomatic post-esophagectomy hernias is a matter of debate because the risk of symptoms or complications is poorly predictable. Surgical treatment is the only radical method for symptomatic or complicated hernias. However, there is still no consensus regarding surgical approach and technique. Most surgeons prefer open surgery fearing severe adhesive process and other technical difficulties. Laparoscopic approach is widely accepted as the "gold standard" for primary hiatal hernia. However, minimally invasive access for post-esophagectomy hiatal hernias is not sufficiently studied and described in several case reports. Currently, it is very important to study the risk factors of hiatal hernias after esophagectomy. We present successful laparoscopic repair of hiatal hernia after hybrid McKeown esophagectomy.

[微创食管切除术后食管裂孔疝的腹腔镜修补术]。
术后食管裂孔疝是食管切除术后一种罕见的特殊并发症。这种并发症会导致急诊并影响死亡率。过去几十年来,由于微创手术的大量使用,这种并发症的发生率有所上升。此外,慢性咳嗽、术前食管裂孔疝和经食管途径也会增加食管裂孔疝复发的风险。大多数食管切除术后食管裂孔疝不需要紧急手术。约 70% 的患者会出现降低生活质量的症状。约 25% 的病例没有症状,是在随访检查中偶然发现的。对于无症状的食管切除术后疝,手术治疗的作用还存在争议,因为出现症状或并发症的风险很难预测。对于有症状或复杂的疝气,手术治疗是唯一的根治方法。然而,关于手术方法和技术仍未达成共识。大多数外科医生更倾向于开腹手术,因为他们担心会出现严重的粘连过程和其他技术难题。腹腔镜方法被广泛认为是治疗原发性食管裂孔疝的 "金标准"。然而,对于食管切除术后食管裂孔疝的微创入路还没有进行充分的研究,仅有几篇病例报告对其进行了描述。目前,研究食管切除术后食管裂孔疝的风险因素非常重要。我们介绍了杂交麦氏食管切除术后食管裂孔疝的成功腹腔镜修补术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
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