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[Laparoscopic fundoplication: current data].

C Mariette1, J Y Mabrut

  • 1Service de chirurgie digestive et générale, Hôpital C. Huriez, CHRU - Lille. c-mariette@chru-lille.fr

Journal De Chirurgie
|November 18, 2005
PubMed
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Laparoscopic fundoplication surgery offers comparable effectiveness to open surgery, with benefits like reduced recovery time and lower pain. Partial fundoplication shows fewer reoperations than total fundoplication, primarily due to less dysphagia.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Comparative Effectiveness Research

Background:

  • Gastroesophageal reflux disease (GERD) management often involves surgical intervention.
  • Laparoscopic fundoplication has emerged as a minimally invasive alternative to open surgery.
  • Evaluating the comparative efficacy and safety of different fundoplication techniques is crucial.

Purpose of the Study:

  • To compare the effectiveness and outcomes of laparoscopic fundoplication versus open fundoplication.
  • To assess the differences between partial and total fundoplication regarding recurrence and reoperation rates.
  • To analyze early functional outcomes and morbidity associated with laparoscopic fundoplication.

Main Methods:

  • Comparative analysis of laparoscopic and open fundoplication procedures.

Related Experiment Videos

  • Evaluation of early functional outcomes, morbidity, and mortality rates.
  • Assessment of recurrence and reoperation rates for partial versus total fundoplication.

    • Main Results:

    • Laparoscopic fundoplication demonstrates comparable effectiveness to open surgery.
    • Reduced morbidity, shorter hospital stays, and decreased analgesic use are noted with the laparoscopic approach.
    • Partial fundoplication shows similar early recurrence rates but significantly lower reoperation rates for failure, primarily due to reduced postoperative dysphagia, compared to total fundoplication.

    Conclusions:

    • Laparoscopic fundoplication is a safe and effective alternative to open surgery with significant patient benefits.
    • Partial fundoplication may be preferable to total fundoplication due to a lower reoperation rate for failure.
    • Long-term evaluation of dysphagia and quality of life is necessary to fully understand the impact of different fundoplication techniques.