The paper presents the experience of use a new surgical technique in the treatment of gastroesophageal reflux disease, which consists of laparoscopic fixing of the His angle by using new biological material - xenopericard made in the form of tape. The access, the sequence and progress of surgical intervention, the advantages of plastic material – calfspericard - are described in details. The implant has a high mechanical strength, a smooth sliding surface, antigenic resistance, bio-resistance while contact with the surrounding tissues and high bio-integration with esophagus, that allowing to prevent possible the prosthesis associated complications, and to obtain good functional results. The anti-reflux surgery is performed using endoscopic original universal access, allowing to performing simultaneous operations. Method is technically simple, non-invasive, absence of stage of mobilization of the stomach and excludes damage to the branches of the vagus nerve, thus prevent the occurrence of postoperative evacuation disorders. Result of the operation using the new method is the restoration of normal topographic anatomical relationships between structures of the esophagogastric junction and recreation of a reliable anti-reflux mechanism. The clinical observation and generalized results of treatment of 36 patients demonstrate the effectiveness of the proposed method for the surgical treatment of gastroesophageal reflux disease.
gastroesophageal reflux disease, xenopericardial tape, surgical treatment, anti-reflux surgery.
1. Belyalov F.I. Gastroezofageal´naya reflyuksnaya bolezn´. Irkutsk: RIO IGIUV, 2010.
2. Burikov M.A., Shul´gin O.V. Modifitsirovannyy metod laparoskopicheskoy khirurgicheskoy korrektsii gryzhi pishchevodnogo otverstiya diafragmy. Al´manakh Instituta khirurgii im. A.V. Vishnevskogo. 2012. T. 7. N 1. S. 111–112.
3. Vasilevskiy D.I., Luft A.V., Pryadko A.S., Vorob´ev S.L., Volkov V.G., Mikhal´chenko G.V., Filin A.V., Kulagin V.I., Silant´ev D.S. Maloinvazivnye khirurgicheskie tekhnologii v lechenii pishchevodnykh oslozhneniy GERB. Gastroenterologiya Sankt-Peterburga. 2011. N 2–3. S. 34–36.
4. Volchkova I.S. Funktsional´naya otsenka rezul´tatov razlichnykh vidov fundoplikatsiy [Elektronnyy resurs]. Sovremennye problemy nauki i obrazovaniya. 2012. N 2; URL: www.science-education.ru/102-5416 (data obrashcheniya: 13.01.2014).
5. Maev I.V., Samsonov A.A., Odintsova A.N., Yashina A.V. Dinamika pokazateley kachestva zhizni bol´nykh gast-roezofageal´noy reflyuksnoy bolezn´yu na fone terapii rabeprazolom. Eksperimental´naya i klinicheskaya gastroenterologiya. 2009. N 4. S. 97–100.
6. Mitroshin A.N., Sivakon´ S.V., Mozerov S.A., Abdullaev A.K., Mitroshin I.A. Issledovanie biointegratsii ksenoperikarda pri plastike defektov sukhozhil´no-svyazochnykh struktur. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki. Klinicheskaya meditsina. 2010. N 3(15). S. 35–42.
7. Pirogov S.S., Kuvshinov Yu.P., Stilidi I.S., Poddubnyy B.K., Ivashkin V.T., Malikhova O.A., Trukhmanov A.S., Zakharova T.I., Chistyakova O.V. Novyy vzglyad na problemu pishchevoda Barretta. Rossiyskiy zhurnal gastroenterologii, gepatologii, koloproktologii. 2008. N 3. S. 25–39.
8. Furnee E.J.B., Draaisma W.A., Breeders LA., Hein G. Gooszen Surgical ReinterventionAfter Failed Antireflux Sur-gery: A Systematic Review of the Literature. J. Gastrointest. Surg. 2009. Vol. 13(8). P. 1539–1549.
9. Gutschow S.A., Hölscher A.H. Surgical treatment of gastroesophageal reflux disease. Langenbecks Arch. Surg. 2013. Vol. 398. R. 661–667.
10. Tytgat G.N., McColl K., Tack J., Holtmann G., Hunt R.H., Malfertheiner P., Hungin A.P., Batchelor H.K. New algorithm for the treatment of gastroesophageal reflux disease. Aliment. Pharmacol.Ther. 2008. Vol. 27(3). P. 249–256.
