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Low-Cost Single-Port LoCoSP Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
Published on: September 11, 2021
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Minimally invasive surgery for large hiatal hernia.
Nobuo Omura1,2, Kazuto Tsuboi2, Fumiaki Yano2
1Department of Surgery National Hospital Organization Nishisaitama-Chuo National Hospital Tokyo Japan.
Annals of Gastroenterological Surgery
|September 25, 2019
Summary
Paraesophageal hernia (PEH) repair using laparoscopic surgery is safe and effective. Elective repair is preferred, and while mesh reinforcement may reduce short-term recurrence, long-term outcomes and optimal surgical techniques require further study.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Paraesophageal hiatal hernias (PEH) involve stomach prolapse into the chest.
- Laparoscopic surgery for PEH has been established for over 25 years.
- PEH can lead to severe complications like strangulation and perforation.
Purpose of the Study:
- To review the current status of laparoscopic repair for PEH.
- To discuss complications, recurrence rates, and surgical techniques.
- To emphasize the importance of elective repair and patient outcomes.
Main Methods:
- Review of laparoscopic surgical techniques for PEH.
- Analysis of outcomes including recurrence and complications.
- Discussion of adjunct procedures like mesh reinforcement, fundoplication, and gastropexy.
Main Results:
- Laparoscopic PEH repair is feasible and safe.
- Elective repair yields better outcomes than emergent repair.
- Anatomical recurrence rates increase with age; mesh reinforcement's long-term efficacy is unclear.
Conclusions:
- Elective laparoscopic repair of PEH is recommended.
- Surgical technique selection should aim to minimize postoperative dysphagia.
- Further research is needed on long-term outcomes of mesh reinforcement and other adjuncts.
