The Choice of Surgical Tactics for Correcting Hiatal Hernia in Patients with Cholelithiasis in Combination with Gastroesophageal Reflux

Abstract

The study presents the results of examining and surgically treating 84 patients with cholelithiasis in conjunction with a hernia of the esophageal diaphragmatic opening. Among them, 49 patients were part of the main group, while 35 belonged to the comparison group. These patients were admitted and underwent surgery at the clinic between 2017 and 2022. Based on a comprehensive comparative analysis of both early and long-term surgical outcomes, an enhancement in the effectiveness of surgical treatment was observed in patients with cholelithiasis, who also had gastroesophageal reflux disease and hernia of the esophageal diaphragmatic opening. The selection of treatment approaches was determined using a calculated method involving an original formula. The research conducted in this study contributed to the optimization of surgical treatment tactics for patients with this combined pathology.