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Laparoscopic posterior partial fundoplication: analysis of 100 consecutive cases
M J O'Reilly1, S G Mullins, W B Saye
1Advanced Laparoscopic Training Center, Marietta Surgical Center, Georgia, USA.
Journal of Laparoendoscopic Surgery
|June 1, 1996
Summary
Laparoscopic posterior partial fundoplication (LPPF) is a safe and effective surgery for severe gastroesophageal reflux disease. This study shows LPPF offers excellent reflux control with minimal complications and preserves the ability to belch.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Severe gastroesophageal reflux disease (GERD) requires effective treatment.
- Laparoscopic posterior partial fundoplication (LPPF) presents potential advantages over other antireflux procedures.
Purpose of the Study:
- To evaluate the safety and effectiveness of LPPF for severe GERD.
- To assess key outcomes including dysphagia, belching ability, and reflux resolution.
Main Methods:
- Retrospective review of 100 consecutive LPPF cases.
- Preoperative and postoperative assessments including EGD, manometry, and 24-hour pH monitoring.
- Detailed analysis of operative time, hospital stay, complications, and conversions.
Main Results:
- All patients maintained the ability to belch; postoperative dysphagia resolved within 7 days for 4 patients.
- Excellent resolution of esophageal reflux confirmed by 24-hour pH studies.
- Significant increase in lower esophageal sphincter (LES) pressure (median 9.2 mm Hg) with no need for antireflux medication postoperatively.
Conclusions:
- Laparoscopic posterior partial fundoplication is a safe and effective antireflux procedure.
- The technique demonstrates a low incidence of complications, preserves physiological functions like belching, and achieves excellent long-term reflux control.