ANALYSIS OF THE SAFETY AND FEASIBILITY OF ESOPHAGEAL HIATAL HERNIA REPAIR SURGERY COMBINED WITH LAPAROSCOPIC GASTRIC SURGERIES 282276002@qq.com

 

ANALYSIS OF THE SAFETY AND FEASIBILITY OF ESOPHAGEAL HIATAL HERNIA REPAIR SURGERY COMBINED WITH LAPAROSCOPIC GASTRIC SURGERIES

3

China

Oral or Poster

During laparoscopic surgery, it is common to accidentally discover patients with esophageal hiatal hernia. Currently, there is a lack of clinical guidelines for the treatment of laparoscopic HH repair combined with other abdominal diseases

A retrospective analysis was conducted on the perioperative and follow-up data of 37 patients who underwent combined esophageal hiatal hernia repair and laparoscopic gastric surgeries, and 28 patients who underwent only laparoscopic distal gastrectomy, at the General Surgery Department of Xuzhou Medical University Affiliated Hospital from December 2014 to November 2023. The intraoperative and postoperative conditions of patients undergoing combined surgery were summarized, and the clinical data of patients undergoing combined esophageal hiatal hernia repair and laparoscopic gastric surgeries (the combined distal gastrectomy group) and patients undergoing laparoscopic distal gastrectomy alone (the distal gastrectomy group) was compared.

The rate of patients with preoperative GERD experiencing postoperative GERD relief is 90.9%. The GERD-Q score significantly decreased at 3 months post-surgery compared to preoperative levels , and there was no recurrence of hiatal hernia or other long-term complications. No statistically significant differences were observed in the intraoperative bleeding, postoperative eating time, drainage tube retention time, or postoperative hospital stay between the combined distal gastrectomy group and the distal gastrectomy group . The two groups also showed no difference in hospitalization expenses , but exhibited a difference in surgical times .

Combining laparoscopic gastric surgery with esophageal hiatal hernia repair simultaneously when conditions permit can treat multiple diseases in unison and is a safe and feasible surgical approach.