Day-Case Laparoscopic Nissen Fundoplication in Children

Banieghbal, Behrouz; Beale, Peter

doi:10.1089/lap.2006.0054

Cited by 16 publications

(11 citation statements)

References 11 publications

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“…The first laparoscopic fundoplication on a child was performed in 1991 by Lobe [13]. Currently, it has a broad application in children and has even been performed on a day-case basis in some centres [14,15]. Our review establishes the fact that it is the most common MIS procedure in neonatal practice with an acceptably short operation time and low complication rate.…”

Section: Discussionmentioning

confidence: 67%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

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The aim of this study was to assess the feasibility of complex minimally invasive surgery in neonates (and infants <5 kg). A systematic search of databases was performed. Inguinal herniotomy and pyloromyotomy were specifically excluded. Various operations were assessed for operative times, conversion rates, complications and centres performing the procedures. From 479 abstracts, 50 papers were identified describing 1,215 patients. Common operations performed were fundoplication (n = 473), operations for ovarian pathology (n = 151) and oesophageal atresia repair (n = 123). Other not-so-common operations included Kasai procedure (n = 61), Ladd's procedure (n = 55), bowel atresia surgery (n = 45) and congenital diaphragmatic hernia repair (n = 41). Mean operation times varied from 43 min for fundoplication to 209 min for Kasai procedure, with other operation times falling in between the two extremes. Likewise, conversion rates varied from 0.2% for fundoplication to 15% for congenital diaphragmatic hernia, with other conversion rates falling in between. Complications ranged from 0 to 67%. About 70-94% of the cases were performed in six pioneering centres. Fundoplication and operations for ovarian pathology have low complication and conversion rates and appear to be well suited to the average-trained paediatric laparoscopic surgeon. More complex procedures are feasible and safe, but technically demanding and need further expertise.

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Section: Discussionmentioning

confidence: 67%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

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“…There were no randomized trials or meta-analyses included in the study. The studies identified were one prospective comparative study (comparing 22 outpatient surgeries to 16 inpatient surgeries, level 3b) [8], nine prospective noncomparative studies (level 4) [5,[9][10][11][12][13][14][15][16], and four retrospective noncomparative studies (level 4) [17][18][19][20] of which one involved children [20] and was analyzed separately. A literature review without data metaanalysis was published in 2005 and involved only seven published studies [21].…”

Section: Publications Identifiedmentioning

confidence: 99%

“…Only one study assessed the acceptability and safety of day-case laparoscopic fundoplication in children [20]. Twenty-one children were enrolled, with an average age of 4 years (range = 9 months to 11 years) and who experienced a surgical procedure (Nissen fundoplication) and perioperative management similar to those of adult patients.…”

Section: Ambulatory Laparoscopic Gastroesophageal Reflux Surgery In Pmentioning

confidence: 99%

Ambulatory laparoscopic fundoplication for gastroesophageal reflux disease: a systematic review

Mariette

Pessaux

2011

Surg Endosc

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“…As also indicated by previous studies, out-patient surgery is widely performed for many different types of pathologies in pediatric surgery centers but there seems to be a legitimate skepticism for the day-case approach in gastrointestinal surgery although reports of laparoscopic fundoplication and laparoscopic appendectomy on children in an out-patient setting were recently published (14,15). Doubtlessly, patient safety can not be jeopardized against all hospital costs, parental issues and surgeons' will, but we believe there is sufficient data in the literature showing that SDD for LC is safe and feasible for children as it is for adults with appropriate patient selection bias and management.…”

Section: Discussionmentioning

confidence: 95%

Factors Affecting Same-Day Discharge Following Laparoscopic Cholecystectomy in Children

Dökümcü¹,

Divarcı²,

Tiryaki³

et al. 2017

jpr

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ABS TRACTÖz Aim: Laparoscopic cholecystectomy (LC) as day surgery is widely performed on adults; however, experience in pediatric LC in an out-patient setting is limited. We aimed to review our experience and investigate related factors. Materials and Methods: Medical records of patients who underwent elective LC from June 2005 to July 2016 were retrospectively reviewed. Patients were grouped according to the duration of hospital stay, and patient characteristics and outcome were compared. T-test and chi-square were used for statistical analysis. Results: A hundred and sixty-seven patients with a mean age of 10.4 years were enrolled. There was no conversion to open surgery, with only one postoperative complication in a patient with consumption coagulopathy. Same-day discharge (SDD), overnight stay (ONS) and prolonged stay (PS) groups were constituted of 50, 92, 25 patients respectively. All groups had similar preoperative characteristics and median postoperative pain scores. Previous history of cholecystitis and underlying hematological diseases were more common in the PS group (p<0.05). Duration of anesthesia was shortest in SDD, longest in PS groups (p<0.006). Perioperative minor complications were more common in the PS group than the SDD group (p=0.03). Mean time for oral feeding was 3.2, 5.4 and 14.8 hours for SDD, ONS and PS groups respectively (p<0.009). There was no readmission. Conclusion: LC may safely be performed as day surgery in children without comorbidities. Shorter duration of anesthesia and early oral feeding seem to play a key role in SDD in these cases.

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Day-Case Laparoscopic Nissen Fundoplication in Children

Abstract: This paper is the first report in the pediatric literature to suggest that day-case laparoscopic fundoplication is feasible in children. Patients and caregivers find the procedure acceptable and it appears to be safe.

Cited by 16 publications

References 11 publications

Feasibility of complex minimally invasive surgery in neonates

Feasibility of complex minimally invasive surgery in neonates

Ambulatory laparoscopic fundoplication for gastroesophageal reflux disease: a systematic review

Factors Affecting Same-Day Discharge Following Laparoscopic Cholecystectomy in Children

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