Effect of laparoscopic failure on outcome of laparoscopic nissen fundoplication: independent review

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Andrus VoitkGary Rosenthal

Abstract

This study was undertaken to determine whether conversion or early reoperation contributed significantly to the eventual outcome of laparoscopic Nissen fundoplication. An independent surgeon, blinded to the operative events, administered two general and one system-specific quality of life tools to the first 100 consecutive patients booked for laparoscopic fundoplication in a community hospital, where the open conversion rate was 4 patients/surgeon and the early reoperation rate 1.5 patients/surgeon for the first 20 operations. Patients were also asked about need for medication, dysphagia, satisfaction (analog scale), and whether, if given it to do over, they would opt for surgery again. Of the original 100 patients, 40 were studied an average of 5 years after surgery: 26 completed laparoscopically and 14 with laparoscopic failure (13 conversions and 1 early reoperation). Patient characteristics in the two groups were similar, except that there were more older patients with more fixed intrathoracic hiatus hernias in the failure group. Among the parameters examined, no statistically significant differences could be detected between laparoscopic and converted patients. General and system-specific quality of life, digestive symptom...Continue Reading

References

Jan 1, 1986·Journal of General Internal Medicine·A S DetskyK N Jeejeebhoy
Nov 1, 1996·Scandinavian Journal of Gastroenterology·A BlomqvistL Lundell
Nov 17, 1998·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·T KamolzR Pointner
Mar 24, 1999·Archives of Surgery·T K RantanenI H Kellokumpu
Jul 22, 1999·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·A VoitkG Rosenthal
Mar 16, 2000·The British Journal of Surgery·J I FergusonS Paterson-Brown

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Citations

Aug 15, 2006·The Surgical Clinics of North America·Eric C PoulinRobin P Boushey

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