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Related Experiment Videos

Respiratory function after laparoscopic and open fundoplication

M F Olsén1, K Josefson, J Dalenbäck

  • 1Department of Physiotherapy, Sahlgren's University Hospital, University of Göteborg, Sweden.

The European Journal of Surgery = Acta Chirurgica
|October 6, 1997
PubMed
Summary

Laparoscopic fundoplication leads to better postoperative respiratory function and quicker recovery compared to open surgery. Patients experienced less respiratory impairment, lower fever, and shorter hospital stays after the minimally invasive procedure.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Pulmonary Medicine

Background:

  • Fundoplication is a surgical procedure to treat gastroesophageal reflux disease (GERD).
  • Traditional open fundoplication can lead to significant postoperative respiratory complications.
  • Minimally invasive surgical techniques, like laparoscopic fundoplication, are increasingly adopted to reduce surgical trauma.

Purpose of the Study:

  • To compare the impact of open versus laparoscopic fundoplication on immediate postoperative respiratory function.
  • To evaluate secondary outcomes including oxygen saturation, body temperature, pain management, mobility, and length of hospital stay.

Main Methods:

  • A prospective, non-randomized study conducted at a university hospital.
  • 32 patients underwent conventional open fundoplication, and 25 patients had laparoscopic fundoplication.

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  • Key outcome measures included respiratory function tests (forced vital capacity, peak expiratory flow), oxygen saturation, temperature, analgesic use, mobilization, and hospital stay.

    • Main Results:

    • Laparoscopic fundoplication resulted in significantly less deterioration in respiratory function, evidenced by higher oxygen saturation and less reduction in forced vital capacity and peak expiratory flow.
    • Patients in the laparoscopic group experienced significantly lower postoperative fever and shorter hospital stays (median 2 days vs. 6 days).
    • These improvements were statistically significant (p < 0.05 for respiratory function, p < 0.001 for fever and hospital stay).

    Conclusions:

    • Both open and laparoscopic fundoplication can impair respiratory function post-surgery.
    • Laparoscopic fundoplication demonstrates a significantly less detrimental effect on respiratory function compared to open surgery.
    • The minimally invasive approach offers advantages in terms of faster recovery and reduced postoperative complications.