Laparoscopic hiatal hernia repair:a clinical analysis of 12 cases

Objective:To explore the feasibility and clinical value of laparoscopic surgery in treating patients with hiatal hernia.Methods:Twelve patients with hiatal hernia underwent laparoscopic hiatal hernia repair,including 9 cases of Nissen operation,3 cases of Toupet operation.8 cases of hernia repaired with suture,4 cases repaired with Bard CruraSoftMesh.Results:12 cases of laparoscopic hiatal hernia repair was successful in all.No conversions were needed.Mean operation time was(116±23) min(range:62-215 min).Mean intraoperative blood lose was(12±2.4) ml(range:10-20 ml).Mean postoperative hospital stay was(5.1±1.3) d(range:3-19 d).Clinical symptoms were relieved in all cases.No mortality and severe complications were occurred.Symptoms completely disappeared in 9 cases(75%),improved in 3 cases(25%).Conclusions:Laparoscopic repair of esophageal hiatal hernia with efficacy,safety and the advantages of minimally invasive,should be further applied clinically.