>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)
PDF: 4. Kb.
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.
||Esophagus, anti-reflux surgery, laparoscopy, open, morbidity, mortality.
Hinder RA, Filipi CJ, Wetscher G, Neary P, DeMeester TR, Perdikis G. Laparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux disease. Ann Surg 1994; 220: 472-81; discussion 481-3.
Pitcher DE, Curet MJ, Martín DT, Castillo RR, Gerstenberger PD, Vogt D et al. Successful management of severe gastroesophageal reflux disease with laparoscopic Nissen fundoplication. Am J Surg 1994; 168: 547-53; discussion 553-4.
Anvari M, Allen C, Borm A. Laparoscopic Nissen fundoplication is a satisfactory alternative to long-term omeprazole therapy. Br J Surg 1995; 82: 938-42.
Aye RW, Hill LD, Kraemer SJ, Snopkowski P. Early results with the laparoscopic Hill repair. Am J Surg 1994; 167: 542-6.
Collard JM, de Gheldere CA, De Kock M, Otte JB, Kestens PJ. Laparoscopic antireflux surgery. What is its real progress? Ann Surg 1994; 220: 146-54.
Bittner HB, Meyers WC, Brazer SR, Pappas TN. Laparoscopic Nissen fundoplication: operative results and short-term follow-up. Am J Surg 1994; 167:193-8; discussion 199-200.
Collet D, Cadiere GB. Conversions and complications of laparoscopic treatment of gastroesophageal reflux disease. Formation for the Development of Laparoscopic Surgery for Gastroesophageal Reflux Diseases. Am J Surg 1995; 169: 622-6.
Swanstrom L, Wayne R. Spectrum of gastrointestinal symptoms after laparoscopic fundoplication. Am J Surg 1994; 67: 538-41.
Loustarinen M. Nissen fundoplication for reflux esophagitis. Long-term clinical and endoscopic results in 109 of 127 conseccutive patients. Ann Surg 1993; 217: 329-37.
Watson A, Spychal RT, Brown MG, Peck N, Callander N. Laparoscopic physiological antireflux procedure: preliminary results of a prospective symptomatic and objective study. Br J Surg 1995; 82: 651-6.
Eshraghi N, Farahmand M, Soot SJ, Rand-Luby L, Deveney CW, Sheppard BC. Comparison of outcomes of open versus laparoscopic Nissen fundoplication performed in a single practice. Am J Surg 1998; 175:371-4.
González Acosta MA, Díaz De León F, Moreno González S. Cirugía antirreflujo. Rev Fac Med UNAM 2001; 44: 55-7.
>Year 2002, Issue 3