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Related Experiment Videos

Laparoscopic vs conventional Nissen fundoplication. A prospective randomized study

S Laine1, A Rantala, R Gullichsen

  • 1Department of Surgery, Turku University Central Hospital, Kiinamyllynkatu 4-8, FIN-20520 Turku, Finland.

Surgical Endoscopy
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

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Laparoscopic Nissen fundoplication offers a safe and effective alternative to open surgery for severe esophagitis, with shorter hospital stays and comparable long-term outcomes.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Laparoscopic Nissen fundoplication is widely adopted.
  • No randomized studies have directly compared laparoscopic to open fundoplication outcomes.

Purpose of the Study:

  • To compare the outcomes of laparoscopic versus open Nissen fundoplication.
  • To evaluate postoperative recovery, complications, and patient satisfaction.

Main Methods:

  • 110 patients with grade II-IV esophagitis were randomized: 55 to laparoscopic (LAP) and 55 to open (OPEN) Nissen fundoplication.
  • Postoperative recovery, complications, and 3- and 12-month outcomes were assessed.

Main Results:

  • Laparoscopic Nissen fundoplication had a significantly shorter mean hospital stay (3.2 vs. 6.4 days).

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  • Complications included conversion to open surgery in 5 LAP patients and splenectomy in 2 OPEN patients; no mortality.
  • Patient satisfaction was high in both groups (100% LAP, 86% OPEN) at 12 months, with initial dysphagia and bloating resolving.

    • Conclusions:

    • Laparoscopic Nissen fundoplication is a safe and feasible procedure.
    • Functional results of laparoscopic surgery are comparable or superior to open surgery.
    • Minimally invasive approach leads to faster recovery and high patient satisfaction.