Laparoscopic Paraesophageal Hiatus Hernia Repair

摘要

For a benign condition, paraesophageal hiatal hernia (PEH) is the source of considerable controversy in the minimally invasive surgery and thoracic surgery literature. Controversies exist as to who should undergo repair, how the repair should be performed, and what the natural history is for asymptomatic patients. The first repairs performed by Coliis and others in the 1950s began as a thoracoabdominal approach, and Dr Belsey perfected his repair via left thoracotomy. The open abdominal approach was also widely used and studied by a number of centers and includes the Hill repair, popularized by Dr Lucius Hill in Seattle, WA. The use of laparoscopy to repair paraesophageal hernias began with the first laparoscopic cases in the early 1990s. Since then, it has become an accepted or even preferred method to repair uncomplicated paraesophageal hernias.