Guideline on Seven⁃step procedure of standardized laparoscopic operation for hiatal hernia and gastroesophageal reflux disease（version 2021）

doi:10.3969/j.issn.1009-976X.2021.05.002

Lingnan Modern Clinics In Surgery ›› 2021, Vol. 21 ›› Issue (05): 500-506.DOI: 10.3969/j.issn.1009-976X.2021.05.002

• Surgical Procedure Explanation • Previous Articles Next Articles

Guideline on Seven⁃step procedure of standardized laparoscopic operation for hiatal hernia and gastroesophageal reflux disease（version 2021）

Department of Gastroenterology, Hernia and Abdominal Wall Surgery, The Sixth Hospital of Sun Yat-sen University, Guangzhou, China / Guangdong Institute of Gastroenterology / Guangdong Key Laboratory of Colorectal and Pelvic Floor Diseases Research / National Key Clinical Specialties, Guangzhou 510655

食管裂孔疝及胃食管反流性疾病腹腔镜下规范化七步法手术操作指南（2021版）

周太成, 江志鹏, 李英儒, 曾兵, 马宁, 黄恩民, 陈双^*, 广东省医师协会疝与腹壁外科医师分会食管裂孔疝和胃食管反流性疾病专业学组

中山大学附属第六医院胃肠、疝和腹壁外科/广东省胃肠病学研究所/广东省结直肠盆底疾病研究重点实验室/国家临床重点专科,广州 510655

通讯作者: *陈双,Email:chensh2@mail.sysu.edu.cn
作者简介:陈双,主任医师,教授,博士生导师,留美博士后;
现任中山大学附属第六医院外科教研室主任、胃肠疝和腹壁外科学科带头人,中山大学疝病研究所主任,中国医师协会疝与腹壁外科医师分会首任主任委员,中华医学会外科分会疝和腹壁外科学副组长,广东省医师协会疝与腹壁外科分会主任委员;
专业胃肠、盆底、疝和腹壁外科; 有30多年的临床经验,在消化道肿瘤、腹壁重建和疝外科治疗方面造诣深厚,特别在处理严重复杂的腹腔感染、肠外瘘等腹壁感染疑难疾病有丰富的经验; 长期致力于我国疝和腹壁外科疾病的规范化治疗,是国家腹股沟疝和切口疝专业指南的撰写人;
创建全国性公益活动“善医行,疝医行”,已行程数十万多公里,受益患者两百多名; 曾获国家科学基金及省部级科学基金资助多项,荣获第二届“广东医师奖”、省部级一、二、三等科学进步奖; 撰写和发表专业论文200余篇,主编和参编专业书籍10余部;
周太成,医学博士副主任医师、硕士生导师; 现任中山大学附属第六医院胃肠、疝和腹壁外科副主任（主持工作）,陈双教授团队核心成员;
胃癌、结直肠癌、胃肠道间质瘤等恶性肿瘤,腹股沟疝、切口疝、食管裂孔疝、造口旁疝等疝的微创治疗,痔疮、肛瘘、肛裂、肛周脓肿、直肠脱垂等肛门良性疾病,消化道出血、重症胰腺炎、肠梗阻、肠瘘等急腹症的外科治疗;
中国医促会健康科普分会疝外科学组副组长、中国医师协会外科学分会胃食管反流专业委员会委员、中国医促会胃食管反流多学科分会委员、中国中西医结合学会胃食管反流专业委员会委员、中国医促会腹壁修复与重建外科学组委员、全国卫生产业协会疝和腹壁外科分会胃食管反流专业组委员、中华医学会外科学分会疝与腹壁外科学组青年研究者论坛秘书、粤港澳大湾区疝外科医师委员会常委、广东省医学会胃肠外科学分会委员、广东省医师协会疝与腹壁外科分会委员、广东省医师协会疝与腹壁外科分会胃食管反流学组组长、《中华胃食管反流病电子杂志》编委、《中华疝与腹壁外科杂志》（电子版）通讯编委、《中国普通外科杂志》中青年编委、《中国普通外科学文献（电子版）》编委
基金资助:
广东省科技计划项目（2021A1515410004）;

Abstract

CLC Number:

R656.2

ZHOU Tai⁃cheng, JIANG Zhi⁃peng, LI Ying⁃ru, ZENG Bing, MA Ning, HUANG En-min, CHEN Shuang. Guideline on Seven⁃step procedure of standardized laparoscopic operation for hiatal hernia and gastroesophageal reflux disease（version 2021）[J]. Lingnan Modern Clinics In Surgery, 2021, 21(05): 500-506.

周太成, 江志鹏, 李英儒, 曾兵, 马宁, 黄恩民, 陈双, 广东省医师协会疝与腹壁外科医师分会食管裂孔疝和胃食管反流性疾病专业学组. 食管裂孔疝及胃食管反流性疾病腹腔镜下规范化七步法手术操作指南（2021版）[J]. 岭南现代临床外科, 2021, 21(05): 500-506.

References

[1] Yu HX, Han CS, Xue JR, et al.Esophageal hiatal hernia: risk, diagnosis and management[J]. Expert Rev Gastroenterol Hepatol, 2018, 12(4): 319-329.
[2] 陈双,主编.腹腔镜操作技能基础[M]. 广州:广东科技出版社, 2020: 10.
[3] 周太成, 马宁, 陈双.食管裂孔疝的腔镜修补规范化操作七步法[J].中国普通外科杂志, 2019, 28(10): 1186-1191.
[4] Siegal SR, Dolan JP, Hunter JG.Modern diagnosis and treatment of hiatal hernias[J]. Langenbecks Arch Surg, 2017, 402(8): 1145-1151.
[5] Seo HS, Choi M, Son SY, et al.Evidence-Based Practice Guideline for Surgical Treatment of Gastroesophageal Reflux Disease 2018[J]. J Gastric Cancer, 2018, 18(4): 313-327.
[6] Horgan S, Pohl D, Bogetti D, et al. Failed antireflux surgery: what have we learned from reoperations?[J]. Arch Surg, 1999, 134(8): 809-815; discussion 815-817.
[7] Yalav O, Gumus S, Erdogan O, et al. Laparoscopic revisional surgery for failed anti-reflux procedures[J]. Ann Ital Chir, 2021, 10: S0003469X21032516. [Epub ahead of print]
[8] Schlottmann F, Laxague F, Angeramo CA, et al.Outcomes of Laparoscopic Redo Fundoplication in Patients With Failed Antireflux Surgery: A Systematic Review and Meta-Analysis[J]. Ann Surg, 2020. [Epub ahead of print]
[9] Awais O, Luketich JD, Schuchert MJ, et al. Reoperative antireflux surgery for failed fundoplication: an analysis of outcomes in 275 patients[J]. Ann Thorac Surg, 2011, 92(3): 1083-1089; discussion 1089-1090.
[10] Yatabe K, Ozawa S, Ito E, et al.Late esophageal wall injury after mesh repair for large esophageal hiatal hernia: a case report[J]. Surg Case Rep, 2017, 3(1): 125.
[11] 陈双, 周太成.食管裂孔疝解剖学观点[J]. 临床外科杂志, 2019, 27(9): 745-747.
[12] Hansdotter I, Björ O, Andreasson A, Agreus L, et al.Hill classification is superior to the axial length of a hiatal hernia for assessment of the mechanical anti-reflux barrier at the gastroesophageal junction[J]. Endosc Int Open, 2016, 4(3): E311-317.
[13] 陈双, 周太成, 马宁.食管裂孔疝的病理生理[J].中华胃食管反流病电子杂志, 2019, 6(2): 49-54.
[14] 陈双, 周太成, 马宁.食管裂孔疝修补——力求结构与功能的统一[J].中华胃肠外科杂志, 2018, 21(7): 734-739.

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Guideline on Seven⁃step procedure of standardized laparoscopic operation for hiatal hernia and gastroesophageal reflux disease（version 2021）

食管裂孔疝及胃食管反流性疾病腹腔镜下规范化七步法手术操作指南（2021版）

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