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腹腔镜手术治疗胃食管结合部良性疾病术后并发症及处理 被引量:10

Complications and managements after laparoscopic surgery for benign diseases of esophagogastric junction
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摘要 胃食管结合部良性疾病临床上以胃食管反流病、食管裂孔疝和贲门失弛缓症最为常见,针对上述疾病所开展的腹腔镜胃底折叠术、腹腔镜食管裂孔疝修补术、腹腔镜贲门括约肌切开术已被临床证实具有创伤小、恢复快、操作安全、疗效可靠等优势,其术后常见并发症也逐渐被临床重视。术后早期并发症主要是出血、消化道瘘和胸腔积液,远期并发症除疾病复发外,其他因疾病不同而存在差异。术后并发症应强调以防为主,发生后及时正确处理。 The most common diseases of benign diseases of esopbagogastric junction in daily practice are gastro-esophageal reflux diseases, hiatal hernia and achalasia. The surgical procedures are laparoseopic hiatal repair laparoscopic fundoplicafion, and laparoscopic myotomy accordingly, which have been proved to be with advantages of less surgical trauma, quicker recovery, safe operation and durable efficacy, etc. Nevertheless, postoperative complications have gained more and more attention. Early postoperative complications are bleeding, GI fistula and pneumothorax, and the late complications include recurrence and other conditions. The prevention is the most important for the treatment of postoperative complications. Correct treatment should be performed as soon as the complication occurred.
出处 《中国实用外科杂志》 CSCD 北大核心 2013年第4期295-298,共4页 Chinese Journal of Practical Surgery
关键词 腹腔镜 胃食管反流病 食管裂孔疝 贲门失弛缓症 并发症 laparoscopy gastro-esophageal reflux diseases hiatal hernia achalasia complication
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