Abstract:

Objective

To analyze the clinical effect of laparoscopic hiatal hernia repair combined with cholecystectomy.

Methods

A total of 36 patients who underwent laparoscopic hiatus hernia repair combined with cholecystectomy in the Department of General Surgery, Affiliated Hospital of Xuzhou Medical University from October 2014 to November 2023 were collected as the observation group, and 36 patients who underwent laparoscopic hiatus hernia repair during the same period were selected as the control group. The clinical indexes, symptom scores (food reflux, chest pain), inflammatory indexes [interleukin-6 (IL-6), interleukin-1β (IL-1β), C-reactive protein (CRP)] and complications of the two groups were analyzed and compared.

Results

There were no differences between the two groups in the amount of intraoperative blood loss and postoperative hospital stay (P＞0.05), and the operative time of the observation group was longer than that of the control group (P＜0.05). Before surgery, there were no differences in the scores of food reflux and chest pain between the two groups (P＞0.05). Symptom scores of the two groups were decreased 3 months after surgery, and the observation group was lower than the control group (P＜0.05). Before operation, there were no differences in IL-6, IL-1β and CRP levels between the two groups (P＞0.05). Three months after operation, the levels of inflammation indexes in two groups were lower than those in control group (P＜0.05). The complication rate of the observation group was 8.33%, lower than that of the control group (27.78%, P＜0.05).

Conclusion

Laparoscopic repair of hiatus hernia combined with cholecystectomy in the treatment of hiatus hernia has significant clinical efficacy,can significantly improve the clinical symptoms of patients, and is safe and feasible in the absence of obvious contraindications.

Key words: Hiatal hernia, Laparoscopic surgery, Cholecystectomy, Curative effect