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Minimally invasive antireflux surgery

J B McKernan1, J K Champion

  • 1Department of Surgery, Medical College of Georgia, Augusta, USA.

American Journal of Surgery
|May 6, 1998
PubMed
Summary
This summary is machine-generated.

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Minimally invasive antireflux surgery, including laparoscopic and thoracoscopic approaches, offers sustained relief for gastroesophageal reflux disease (GERD) symptoms. This large-scale study demonstrates low complication rates and rapid recovery, supporting its efficacy.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Previous studies on minimally invasive antireflux surgery for GERD were limited in scope and duration.
  • This study reviews a substantial 66-month experience with over 1,000 procedures.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of minimally invasive antireflux procedures.
  • To report outcomes from a large series of laparoscopic and thoracoscopic antireflux surgeries.

Main Methods:

  • A retrospective review of 1,003 minimally invasive antireflux procedures performed between 1991 and 1997.
  • Procedures included laparoscopic Nissen, Toupet, paraesophageal, and thoracoscopic Belsey techniques.
  • Ancillary procedures such as myotomy, vagotomy, pyloromyotomy, and cholecystectomy were also analyzed.

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Main Results:

  • Operative mortality was low at 0.1% with a 2.7% complication rate.
  • Long-term dysphagia occurred in 1% of patients.
  • A 3.8% recurrence rate was observed, with 3.4% reporting GERD symptoms.

Conclusions:

  • Minimally invasive antireflux procedures provide durable symptom relief for GERD.
  • These techniques are associated with low morbidity and facilitate quick patient recovery.