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Related Experiment Videos

[Nissen's fundoplication by celiovideoscopy]

G B Cadière1, J Himpens, J Bruyns

  • 1Département de Chirurgie Digestive, Hôpital Universitaire Saint-Pierre, Bruxelles, Belgique.

Annales De Chirurgie
|January 1, 1995
PubMed
Summary

Laparoscopic fundoplication is a safe and effective surgical treatment for gastroesophageal reflux disease, with low complication rates and short hospital stays. This study highlights its feasibility and positive outcomes in a series of patients.

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Surgical Outcomes

Context:

  • Gastroesophageal reflux disease (GERD) management often involves surgical intervention.
  • Laparoscopic fundoplication has emerged as a preferred surgical approach for GERD.
  • Evaluating the safety and efficacy of laparoscopic fundoplication is crucial for clinical practice.

Purpose:

  • To assess the perioperative and long-term outcomes of laparoscopic fundoplication.
  • To report intraoperative and postoperative complication rates.
  • To analyze the efficacy of laparoscopic fundoplication in managing GERD.

Summary:

  • A total of 162 laparoscopic fundoplications were performed between May 1991 and December 1993.
  • The study reported no perioperative deaths, with a 3% intraoperative complication rate and a 3.1% conversion rate to laparotomy.

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  • Postoperative complications included pneumonia and events requiring reoperation, with long-term issues such as recurrent heartburn and dysphagia noted.

    • Impact:

    • Laparoscopic fundoplication demonstrates a favorable safety profile with manageable complications.
    • The procedure offers a short postoperative hospital stay, enhancing patient recovery.
    • Long-term follow-up indicates the need for vigilance regarding potential recurrent symptoms and functional issues.