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Abstract：
Background: We aimed to investigate the safety and effectiveness of laparoscopic repair for treating chronic traumatic diaphragmatic hernia (CTDH). Methods: In this retrospective analysis, we included 23 cases with CTDH underwent laparoscopy in our hospital between June 2015 and October 2019 was performed. The patient characteristics were recorded. We compared the diameter of hernia ring, surgery duration, intraoperative bleeding volume, means of repairing, as well as the follow-up data. Results: All the patients underwent laparoscopic diaphragmatic hernia repair, without conversion to laparotomy or thoracotomy. The operation time ranged from 60 min to 200 min (mean, 108.04 ± 42.93 min). The blood loss volume ranged from 10 to 300 ml (mean volume, 63.48 ± 71.69 ml). The postoperative hospital stayed ranged from 5 to 15 days (mean, 6.22 ± 2.11 days). The patients were followed up for 1-50 months (mean, 17.5 ± 10.90 months). No recurrence of diaphragmatic hernia was found. Conclusions: Laparoscopic repair of CTDH is featured by fast recovery, high security, and effectiveness. Reducing the hernia contents and close of the hernia ring are crucial for the surgery that is performed based on the size and location of the diaphragmatic hernia.
摘要：
背景：我们旨在探讨腹腔镜修补术治疗慢性创伤性膈疝（CTDH）的安全性和有效性。方法:在回顾性分析中,我们纳入2015年6月至2019年10月在我院接受腹腔镜检查的23例CTDH患者。记录患者特征。我们比较了疝环的直径，手术持续时间,术中出血量,修复手段,以及后续数据。结果:所有患者均行腹腔镜膈疝修补术,没有转换为剖腹手术或开胸手术。手术时间从60分钟到200分钟(平均，108.04±42.93min)。失血量10~300ml(平均体积,63.48±71.69ml)。术后住院时间为5~15天(平均6.22±2.11天)。随访1～50个月(平均,17.5±10.90个月）。无膈疝复发。结论:腹腔镜CTDH修补术恢复快,高安全性,和有效性。减少疝内容物和疝环的关闭对于根据膈疝的大小和位置进行的手术至关重要。
