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Thoracoscopic Belsey fundoplication with 5-year outcomes
1Department of Surgery, Emory-Dunwoody Medical Center, 4575 North Shallowford Road, Atlanta, GA 30038, USA. jkchamp@juno.com
Surgical Endoscopy
|June 12, 2003
Summary
Thoracoscopic Belsey fundoplication for gastroesophageal reflux disease (GERD) showed high rates of morbidity and recurrence in this study. Further investigation into minimally invasive thoracic techniques for GERD is warranted.
Area of Science:
- Gastroenterology and Surgical Innovation
- Minimally Invasive Thoracic Surgery
Background:
- Gastroesophageal reflux disease (GERD) management often involves surgical intervention.
- Minimally invasive thoracic techniques are explored for GERD treatment.
Purpose of the Study:
- To evaluate the indications and outcomes of thoracoscopic Belsey fundoplication for GERD.
- To assess the long-term efficacy and safety of this minimally invasive approach.
Main Methods:
- Retrospective review of 21 patients undergoing thoracoscopic Belsey fundoplication.
- Analysis of preoperative conditions including motility disorders, strictures, and diverticuli.
- Inclusion of ancillary procedures performed concurrently.
Main Results:
- One operative death (4.8%) and early morbidity including esophageal leaks (9.8%).
- Late morbidity observed with persistent dysphagia (15.7%) and recurrent GERD (26%).
- Mean follow-up of 75.6 months.
Conclusions:
- Thoracoscopic Belsey fundoplication demonstrated a high morbidity and recurrence rate in long-term follow-up.
- The study suggests caution regarding the widespread adoption of this technique for GERD.