Comparison of total versus partial laparoscopic fundoplication in the management of gastroesophageal reflux disease

American Journal of Surgery
S S KarimJ Clifton

Abstract

A comparison of total vs. partial laparoscopic fundoplication was conducted in 89 patients from July 92 to June 96. Parameters examined were operating room (OR) times, conversion rates, and perioperative complications. Patient satisfaction, control of symptoms, and late complications were assessed by follow-up at a mean of 6 and 15.4 months. There were six conversions to open surgery resulting in 48 laparoscopic total (LTF) and 35 laparoscopic partial (25 anterior and 10 Toupet) fundoplications (LPF). The following results were obtained for each respectively: preop Demeester score 44 vs. 39; OR time 2.9 vs. 2.5 hours; length of stay 3.6 vs. 4.1 days; early morbidity 25% vs. 1%. There were no mortalities. At a mean follow-up of 6 months, new-onset dysphagia was present in 8 (17%) vs. 2 (8%), respectively (NS), and both total and partial fundoplications appeared successful in controlling symptoms (98% vs. 97%). At a mean follow-up of 15.4 months, heartburn was resolved or improved in 76% vs. 87% (NS); regurgitation was improved or resolved in 93% vs. 93%; and patient satisfaction with the procedure was present in 93% vs. 97% (NS). Persistent dysphagia was present in 7.3% vs. 10.3% (NS) of patients. Early satiety was present more ...Continue Reading

References

May 1, 1994·American Journal of Surgery·L Swanstrom, R Wayne

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Citations

Aug 26, 2010·Surgical Endoscopy·Kazuto TsuboiSumeet K Mittal
Apr 17, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Otto RiedlRuxandra Ciovica
Jun 2, 2005·The Surgical Clinics of North America·Pavlos Papasavas
Dec 21, 2000·The British Journal of Surgery·E TrondsenT Buanes
Apr 12, 2001·The British Journal of Surgery·V L Wills, D R Hunt
May 11, 1999·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·B J LeiblR Bittner
Mar 30, 2002·Annals of Surgery·Namir KatkhoudaAndreas M Kaiser
Mar 19, 2005·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·S J ColeH van der Walt
Dec 10, 2016·World Journal of Gastrointestinal Surgery·Salvatore ToloneLudovico Docimo
Nov 6, 2013·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Maxwel Capsy Boga RibeiroNelson Adami Andreollo

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