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[Clinical and functional results after Laparoscopic fundoplication. Prospective evaluation]
J M Fernández-Cebrián1, J Pérez De Oteyza, P Carda
1Unidad de Cirugía General y del Aparato Digestivo. Fundación Hospital Alcorcón. Universidad Rey Juan Carlos, Spain. JMFernandez@fhalcorcon.es
Gastroenterologia Y Hepatologia
|August 2, 2001
Summary
Laparoscopic fundoplication offers excellent medium- and long-term results for gastroesophageal reflux disease (GERD) patients. This minimally invasive approach provides satisfactory clinical outcomes and safety comparable to open surgery.
Area of Science:
- Gastroenterology and minimally invasive surgery.
- Surgical treatment of gastroesophageal reflux disease (GERD).
Context:
- Gastroesophageal reflux disease (GERD) is a common condition requiring effective treatment.
- Laparoscopic surgery has emerged as a preferred approach for various abdominal procedures.
- Evaluating the long-term efficacy and safety of laparoscopic fundoplication is crucial for patient management.
Purpose:
- To prospectively evaluate the medium- and long-term clinical and functional outcomes of laparoscopic fundoplication for GERD.
- To assess the safety and efficacy of this minimally invasive surgical technique.
Summary:
- A study of 265 patients undergoing laparoscopic fundoplication (Nissen-Rossetti or partial) showed significant symptom relief (heartburn, regurgitation, dysphagia) and healing of esophagitis.
- Objective measures, including lower esophageal sphincter pressure, length, and 24-hour esophageal pH monitoring, demonstrated statistically significant improvements post-surgery.
- The procedure reported a low morbidity rate (6.7%) and no mortality, with a 7.5% conversion rate to open surgery.
Impact:
- Laparoscopic fundoplication by experienced surgeons is an excellent alternative for selected GERD patients.
- The procedure yields satisfactory medium- and long-term clinical and functional results, comparable to open fundoplication.
- This approach offers a safe and effective minimally invasive option for managing GERD.