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Related Experiment Videos

Laparoscopic Nissen fundoplication: where do we stand?

G Perdikis1, R A Hinder, R J Lund

  • 1Dept. of Surgery, Creighton University School of Medicine, Omaha, NE 68131, USA.

Surgical Laparoscopy & Endoscopy
|February 1, 1997
PubMed
Summary
This summary is machine-generated.

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Laparoscopic Nissen fundoplication offers lower short-term morbidity and mortality compared to open surgery. This minimally invasive approach shows superior outcomes to medical therapy for reflux disease.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Laparoscopic Nissen fundoplication, introduced in 1991, is increasingly performed for gastroesophageal reflux disease.
  • Reviewing short-term outcomes is crucial given the rising number of procedures.

Purpose of the Study:

  • To evaluate the short-term safety and efficacy of laparoscopic Nissen fundoplication.
  • To compare laparoscopic outcomes with historical open procedures and medical management.

Main Methods:

  • A retrospective review of published reports on laparoscopic Nissen fundoplication.
  • Analysis of data from 2453 patients regarding complications, re-operations, and patient satisfaction.

Main Results:

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  • Low rates of serious complications: perforation (1.0%), bleeding requiring transfusion (1.1%), pneumothorax (2.0%), splenectomy (0.1%).
  • Conversion to open surgery occurred in 5.8%. Early dysphagia affected 20.3%, with late dysphagia in 5.5%.
  • High patient satisfaction (87-100%) and superiority over medical therapy were noted.

    • Conclusions:

    • Laparoscopic Nissen fundoplication demonstrates favorable short-term results with reduced morbidity and mortality compared to open surgery.
    • While early dysphagia is common, overall outcomes and patient satisfaction are high.
    • Further long-term follow-up data is needed to fully assess the procedure's durability.