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[Laparoscopic fundoplication. A prospective assessment of 100 operations for gastroesophageal reflux]
Introduction:
Laparoscopic fundoplication was assessed in a prospective study.
Method:
One hundred patients with gastroesophageal reflux (GORD) were treated by a 360 degrees fundoplication. The number of operations completed as a laparoscopic procedure, the complication rate, the length of hospital stay and time of work and the effect on GORD symptoms were used as endpoints.
Results:
The operations could be performed as a laparoscopic procedure in 97 cases. Complications were few: A left-sided pneumothorax in two patients. Median operating time was 100 min and postoperative hospital stay two days. Sufficient reflux control was obtained in 93 patients. Only minor side effects were encountered in three patients (dysphagia two, flatulence one). At three-month control 91 were satisfied. After 3-49 mo (median 19 mo) two have needed a re-operation for dysphagia (one due to tight suture and one for a rotated fundoplication). One patient had the fundoplication taken down for embarrassing flatulence in spite of successful reflux control.
Conclusion:
Laparoscopic fundoplication offers a good immediate control of GORD during a short hospitalization with few complications or side effects. No long term results are available at present.