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頁籤選單縮合
題 名 | Laparoscopic Repair of Paraesophageal Hernia=食道旁疝氣的腹腔鏡修補術 |
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作 者 | 李威傑; 黃銘德; 賴逸儒; 魏柏立; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:3 民87.05-06 |
頁 次 | 頁153-158 |
分類號 | 416.24 |
關鍵詞 | 食道旁疝氣; 腹腔鏡修補術; Paraesophageal hernia; Laparoscopic; Gastroesophageal reflux; |
語 文 | 英文(English) |
中文摘要 | 在累積許多上消化道腹腔鏡手術經驗後,我們結合腹腔鏡以及傳統的外科技巧用 於治療食道旁疝氣的病患。 由 1997 年 10 月至 1998 年 4 月,一共有包括 4 位男性及 1 位女性的 5 位合併有第二 型或第三型食道疝氣的病患接受腹腔鏡修補術。這些病人的平均年齡為 60.4 歲(由 41 至 71 歲)。 在使用 5 個穿刺孔( 2 個 10-mm 及 3 個 5-mm )下,先將胃部還原至腹腔內 ,切除疝氣囊然後將缺孔以間斷縫合關閉。同時所有的病人都再加上尼氏胃底部摺疊術,有 一位病人因膽結石同時接受膽囊切除。這五例病人皆以腹腔鏡完成全部的手術,其中手術時 間為 270 分(由 170 至 310 )。 有兩個病人有輕微合併症,一例皮下氣腫產生,另一例 有急性痛風關節炎。所有的病人都在手術後 2 至 4 日出院。沒有病人有比手術前嚴重的長 期吞嚥困難。所有病人在開刀前的胸痛,食道阻塞及逆流的症狀都完全消失。食道旁疝氣是 能夠經由腹腔鏡以標準外科技術修補的。 |
英文摘要 | After developing experience performing laparoscopic foregut surgery we combined laparoscopic access with traditional surgical techniques to treat patients with paraesophageal hernia. Five adults, four males and one female, with type Ⅱ or Ⅲ paraesophageal hernias underwent laparoscopic repair between October 1997 and April 1998 at our hospital. The average age of the patients was 60.4 years (range 41-71). Using five ports (two 10-mm and three 5-mm), the stomach was reduced into the abdomen, the hernia sac was resected, and the defect was closed with interrupted sutures. In addition, all patients had a Nissen fundoplication performed and one patient had cholecystectomy for gall stone. The procedure was completed laparoscopically in all five cases and the median operating time was 270 min (range 160-310). Two minor complications occurred, subcutaneous emphysema in one patient, and an acute gouty arthritis attack in another. All patients were discharged on the 3rd or 4th postoperative day. No patients had longterm dysphagia worse than their preoperative condition. Preoperative symptoms of chest pain, esophageal obstruction, and reflux were resolved in all patients. This study indicated that paraesophageal hernia can be reduced and repaired safely with laparoscopic access using standard techniques. |
本系統中英文摘要資訊取自各篇刊載內容。