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Laparoscopic surgery for hiatal hernia and peptic ulceration
1Hull Royal Infirmary, UK.
European Journal of Gastroenterology & Hepatology
|August 1, 1997
Summary
Minimal access surgery, including laparoscopic antireflux procedures like Nissen fundoplication, is a cost-effective alternative to medical therapy. Laparoscopic peptic ulcer surgery is less common, mainly for complications.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Antireflux and peptic ulcer surgeries are suitable for minimal access approaches.
- Laparoscopic procedures have seen significant expansion in the last five years.
Purpose of the Study:
- To evaluate the role and expansion of minimal access surgery in antireflux and peptic ulcer procedures.
- To assess the economic viability and future trends of laparoscopic surgery in these areas.
Main Methods:
- Review of the expansion and types of laparoscopic antireflux and peptic ulcer procedures.
- Analysis of economic factors, including costs of medical therapy versus laparoscopic surgery.
Main Results:
- Minimal access antireflux surgery, particularly Nissen fundoplication, is established and economically advantageous due to reduced pain, hospital stay, and rehabilitation.
- Laparoscopic peptic ulcer surgery development has been slower, with limited application primarily for complications like perforation, stenosis, and bleeding.
Conclusions:
- Minimal access antireflux surgery is a sustainable and economically viable option.
- Laparoscopic treatment for peptic ulcer disease is expected to increase mainly for managing complications, pending long-term outcome data.
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