Related Experiment Video
Updated: May 17, 2026
08:21
Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
Published on: August 15, 2025
Day-case laparoscopic Nissen fundoplication: a default pathway or is selection the key?
Michael E Kelly1, Tom K Gallagher, Myles J Smith
1Professorial Unit, Department of Surgery, University of Dublin, Trinity College, Dublin, Ireland. kellym11@tcd.ie
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|October 17, 2012
Summary
Day-case laparoscopic Nissen fundoplication (LNF) is safe and feasible. Female gender, high BMI, and high DeMeester scores predict higher admission rates, aiding patient selection for this procedure.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Outcomes Research
Background:
- Day-case laparoscopic Nissen fundoplication (LNF) is increasingly popular.
- Patient factors and gastroesophageal reflux disease (GERD) severity influence LNF success.
- The DeMeester score quantifies GERD severity.
Purpose of the Study:
- To evaluate the impact of patient characteristics on day-case LNF success.
- To assess the role of DeMeester score in predicting outcomes of day-case LNF.
- To identify factors associated with postoperative admission after day-case LNF.
Main Methods:
- Retrospective case series review of 112 patients undergoing day-case LNF (2005-2010).
- Analysis of demographics (age, gender, BMI, smoking status) and DeMeester scores.
- Univariate and multivariable analyses, including logistic regression, were employed.
Main Results:
- Same-day discharge was achieved in 80.3% of patients.
- Female gender (30.76% vs 13.69%), higher DeMeester scores (50.89 vs 36.03), and higher BMI (28.71 vs 26.79 kg/m²) were associated with increased postoperative admissions.
- Age and smoking status did not significantly impact admission rates.
Conclusions:
- Day-case LNF is a safe and feasible surgical option for selected patients.
- Female gender, elevated DeMeester scores, and high BMI are key predictors of postoperative admission.
- These findings are crucial for optimizing perioperative planning and patient selection for day-case LNF.
