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Laparoscopic antireflux surgery; the merits and problems

¹Department of Surgery, Trondheim University Hospital, Norway.

Annals of Medicine

|February 1, 1995

Summary

Laparoscopic antireflux surgery offers excellent short-term results for gastro-oesophageal reflux disease, providing benefits like faster recovery. However, it requires experienced surgeons to ensure safety and avoid complications.

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Area of Science:

Gastroenterology
Minimally Invasive Surgery

Background:

Laparoscopic techniques have increased interest in surgical treatment for gastro-oesophageal reflux disease (GERD).
The aim is to replicate open surgery outcomes with reduced complications, shorter hospital stays, and less sick leave.

Purpose of the Study:

To evaluate the effectiveness and safety of laparoscopic antireflux surgery.
To highlight the benefits and challenges associated with this minimally invasive approach.

Main Methods:

Review of available surgical procedures applicable to laparoscopic antireflux surgery.
Analysis of published series reporting short-term outcomes of laparoscopic antireflux procedures.

Main Results:

Laparoscopic antireflux surgery demonstrates excellent short-term results.
Benefits include a less painful postoperative course, shorter hospital stays, and rapid recovery.
Potential postoperative issues like gas bloat syndrome, dysphagia, and recurrence occur in a small patient subset.

Conclusions:

Laparoscopic antireflux surgery is a safe and effective alternative to conventional methods when performed by experienced surgeons.
Significant surgical experience in both laparoscopic and open antireflux procedures, along with a thorough learning period, is crucial to prevent serious complications.

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