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Laparoscopic Nissen fundoplication

D A Alpers

    Seminars in Perioperative Nursing
    |July 1, 1995
    PubMed
    Summary
    This summary is machine-generated.

    Laparoscopic Nissen fundoplication offers a less invasive approach for gastroesophageal reflux compared to open surgery. This method results in shorter hospital stays, quicker recovery, and potentially lower overall costs.

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    Area of Science:

    • Gastroenterology
    • Minimally Invasive Surgery

    Background:

    • Gastroesophageal reflux disease (GERD) is commonly treated with Nissen fundoplication.
    • Laparoscopic surgery has become increasingly prevalent due to advancements in instrumentation.

    Purpose of the Study:

    • To evaluate the benefits of laparoscopic Nissen fundoplication compared to the open approach.
    • To highlight the advantages of minimally invasive techniques in surgical procedures.

    Main Methods:

    • Comparison of laparoscopic Nissen fundoplication with open Nissen fundoplication.
    • Analysis of invasiveness, recovery time, pain, and hospital costs.

    Main Results:

    • Laparoscopic Nissen fundoplication involves five small incisions, significantly less invasive than the large midline incision of open surgery.

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  • Patients undergoing laparoscopic procedures experience shorter hospital stays (discharge next day) and faster return to daily activities (within days) compared to open surgery (3-5 days stay, 4-6 weeks recovery).
  • Laparoscopic approach generally results in less pain and lower overall hospital bills despite higher operating room costs, due to reduced hospital stay.

    • Conclusions:

    • Laparoscopic Nissen fundoplication is a preferred, less invasive surgical option for GERD.
    • The laparoscopic approach offers significant advantages in terms of patient recovery, pain management, and cost-effectiveness.