目的:总结经脐单切口腹腔镜手术治疗贲门失弛缓症及食管裂孔疝的经验,提高腹腔镜临床应用的水平.方法:2010年3月-2011年10月分别对3例贲门失迟缓症进行单切口腹腔镜食管Heller肌切开、Dor胃底折叠术,对4例食管裂孔疝患者进行单切口腹腔镜食管裂孔疝修补、Nissen胃底折叠术.结果:7例手术均顺利完成.手术时间115～180 min;出血量50～110 mL;住院时间5～7d.所有患者均无术后出血、食管漏、发热感染等并发症.患者术后脐部切口愈合良好,美容效果明显.结论:对于有经验的腹腔镜外科医生,单切口腹腔镜手术治疗贲门失弛缓症及食管裂孔疝是安全可行的,并具有极佳的美容效果.%Objective:To summarize the experience of transumbilical single-incision laparoscopic technique in the treatment of achalaisa and hiatus hernia. Methods: From Mar 2010 to Oct 2011, 3 patients with esophageal achalasia underwent transumbilical single-incision laparoscopic Heller-Dor operation and 4 patients with hiatus hernia underwent transumbilical single-incision laparoscopic hernioplasty and Nissen fundoplication. Results: All operations were successful. The operative duration was 115 - 180 min with intraoperative blood toss 50～110ml and hospital stay 5～7days. All the patients were free of postoperative bleeding,esophageal fistula and fever complica tions. The umbilical incision heailed welt with satisfactory cosmetic effect. Conclusion:Transum-bilical single-incision iaparoscopic technique in the treatment of achalaisa and hiatus hernia is feasible for experienced laparoscope surgeon with reduced injury and excellent cosmetic effect.
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