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>Journals >Cirujano General >Year 2002, Issue 3


Moreno GS, González AMA, Vázquez SH, Díaz LF, Romero LMR
Comparative study of the open Nissen fundoplication vs laparoscopic surgery
Cir Gen 2002; 24 (3)

Language: Español
References: 12
Page: 191-195
PDF: 4. Kb.


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ABSTRACT

Objective: To assess the morbidity and mortality risk when comparing Nissen-type fundoplication performed laparoscopically against open surgery.
Setting: Third level health care hospitals.
Design: Clinical, prospective, transversal, comparative study.
Statistical analysis: Central tendency measures.
Material and methods: We studied 80 patients who were subjected to fundoplication through either open or laparoscopic approach. We assessed surgical time, length of hospital stay and of social adaptation, as well as morbidity and mortality.
Results: An average of 100.5 and 100.75 min of surgical time were recorded for laparascopic and open surgery, respectively. Hospital stay ranged from 3 to 5 days for laparoscopy and from 4 to 8 days for open surgery. Social adaptation took an average time of 10 days for laparoscopy and of 18 days for open surgery. Morbidity and mortality were similar for both groups. Postoperative evolution through the Visick scale was also assessed, and demonstrated 78% (grade I) and 16% (grade II).
Conclusion: Morbidity and mortality were similar for both types of surgery, although laparoscopy resulted in a shorter surgical time and hospital stay, and a faster recovery and social adaptation.


Key words: Esophagus, anti-reflux surgery, laparoscopy, open, morbidity, mortality.


REFERENCIAS

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>Journals >Cirujano General >Year 2002, Issue 3
 

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