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Laparoscopic Rosetti fundoplication
B Hallerbäck1, H Glise, B Johansson
1Dept. of Surgery, NAL, Trollhättan, Sweden.
Scandinavian Journal of Gastroenterology. Supplement
|January 1, 1995
Summary
Laparoscopic fundoplication offers effective reflux surgery with outcomes comparable to open procedures. This minimally invasive approach demonstrates a low complication rate and short hospital stays for reflux esophagitis treatment.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Early experiences with the Rosetti laparoscopic fundoplication technique are presented.
- Comparison with retrospective results from conventional open fundoplication procedures.
Purpose of the Study:
- To evaluate the efficacy and safety of laparoscopic fundoplication.
- To compare outcomes with traditional open surgical methods for reflux esophagitis.
Main Methods:
- Performed 70 consecutive laparoscopic fundoplication procedures.
- Assessed complication rates, hospital stay, and symptomatic follow-up (3-9 months).
- Monitored 24-hour esophageal pH and lower esophageal sphincter pressure (LESP) pre- and post-operatively.
Main Results:
- Low complication rate with laparoscopic approach.
- Postoperative hospital stay of 1-4 days for non-converted patients.
- Follow-up results comparable to open Nissen and Rosetti techniques; LESP normalized and postoperative pH improved in treated patients.
Conclusions:
- Laparoscopic fundoplication is an effective surgical treatment for reflux esophagitis.
- Outcomes of laparoscopic reflux surgery are comparable to open surgical procedures.