[Laparoscopic surgery for benign esophageal diseases].

Area of Science:

• Gastrointestinal Surgery
• Minimally Invasive Procedures
• Esophageal Diseases

Context:

• Benign esophageal diseases are treatable with minimally invasive surgery.
• Laparoscopic surgery offers reduced complication rates compared to open procedures.
• A single surgeon's extensive experience provides valuable insights.

Purpose:

• To evaluate the efficacy and safety of laparoscopic surgery for benign esophageal conditions.
• To report outcomes from a single surgeon's series of 421 patients.
• To analyze short-term and long-term results, including recurrence rates.

Summary:

• A prospective analysis of 421 patients undergoing laparoscopic surgery for benign esophageal diseases was conducted.
• Successful outcomes were achieved in 90% of Barrett's esophagus cases and less than 5% recurrence in achalasia.
• Hiatal hernia repair without mesh showed a 12% complication and 30% recurrence rate.

Impact:

• Laparoscopic surgery is a viable option for benign esophageal diseases, offering a favorable safety profile.
• Specific techniques and adjuncts (e.g., mesh for hiatal hernia) impact recurrence and complication rates.
• This study contributes to the understanding of laparoscopic surgery's role in managing complex esophageal conditions.