Laparoscopic Mesh-augmented Hiatoplasty With Cardiophrenicopexy Versus Laparoscopic Nissen Fundoplication for the Treatment of Gastroesophageal Reflux Disease

Müller‐Stich, Beat P.; Linke, Georg R.; Senft, Jonas D; Achtstätter, Verena; Müller, Philip; Warschkow, René; Marra, Francesco; Schmied, Bruno M.; Borovicka, Jan; Fischer, Lars; Zerz, Andreas; Gutt, Carsten N.; Büchler, Markus W.

doi:10.1097/sla.0000000000001444

Cited by 13 publications

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“…In the 12-year follow-up, both RALF and CLF showed objectifiable stable symptom control of GERD and low rates of treatment failure according to the Lundell definition [23,24]. Parameters for the effectiveness of the treatment, such as requirement for daily PPI treatment, need for reoperation due to recurrent GERD or oesophagogastroscopy results, were queried on the basis of the patient assessment.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, it was determined whether the patients experienced treatment failure 12 years after surgery, which was defined according to Lundell et al [23,24] as the occurrence of at least one of the following criteria: moderate or severe heartburn or acid regurgitation during the previous 7 days before the survey date, oesophagitis reflux subscore ≥ 3, esophagitis grade ≥ B, dysphagia value > 2 in combination with acid regurgitation value > 1, requirement for daily PPI treatment or need for reoperation due to recurrent GERD. Patients were all contacted personally and asked if they had received any EGD or reoperation at all since mid-term follow-up.…”

Section: Methodsmentioning

confidence: 99%

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Randomized controlled trial of robotic-assisted versus conventional laparoscopic fundoplication: 12 years follow-up

et al. 2022

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Aims Numerous reports have addressed the feasibility and safety of robotic-assisted (RALF) and conventional laparoscopic fundoplication (CLF). Long-term follow-up after direct comparison of these two minimally invasive approaches is scarce. The aim of the present study was to assess long-term disease-specific symptoms and quality of life (QOL) in patients with gastroesophageal reflux disease (GERD) treated with RALF or CLF after 12 years in the randomized ROLAF trial. Methods In the ROLAF trial 40 patients with GERD were randomized to RALF (n = 20) or CLF (n = 20) between August 2004 and December 2005. At 12 years after surgery, all patients were invited to complete the standardized Gastrointestinal Symptom Rating Scale (GSRS) and the Quality of Life in Reflux and Dyspepsia questionnaire (QOLRAD). Failure of treatment was assessed according to Lundell score. Results The GSRS score was similar for RALF (n = 15) and CLF (n = 15) at 12 years´ follow-up (2.1 ± 0.7 vs. 2.2 ± 1.3, p = 0.740). There was no difference in QOLRAD score (RALF 6.4 ± 1.2; CLF 6.4 ± 1.5, p = 0.656) and the QOLRAD score sub items. Long-term failure of treatment according to the definition by Lundell was not different between RALF and CLF [46% (6/13) vs. 33% (4/12), p = 0.806]. Conclusion In accordance with previous short-term outcome studies, the long-term results 12 years after surgery showed no difference between RALF and CLF regarding postoperative symptoms, QOL and failure of treatment. Relief of symptoms and patient satisfaction were high after both procedures on the long-term. Registration number: DRKS00014690 (https://www.drks.de).

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Randomized controlled trial of robotic-assisted versus conventional laparoscopic fundoplication: 12 years follow-up

et al. 2022

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“…Einerseits sind Vorteile der Netzverstärkung bezüglich der Hiatushernienrezidivrate nachgewiesen worden, andererseits ist das Risiko für eine schwere Komplikation mit nachfolgendem Zwang zur Resektion nicht vernachlässigbar [347][348][349][350][351][352].…”

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S2k-Leitlinie Gastroösophageale Refluxkrankheit und eosinophile Ösophagitis der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) – März 2023 – AWMF-Registernummer: 021–013

2023

Z Gastroenterol

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Scientific surgery

2016

British Journal of Surgery

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Hakala T et al. Randomized multicenter trial comparing glue fixation, self-gripping mesh, and suture fixation of mesh in Lichtenstein hernia repair (FinnMesh Study). Ann Surg 2015; 262: 714-720. The duration of surgery was 34 min with glue, 32 min with self-gripping and 38 min with sutured mesh (P < 0⋅001). There were no differences in postoperative pain, analgesic requirement, complications or quality of life. Gough AE, Chang S, Reddy S, Ferrigno L, Zerey M, Grotts J et al. . Periprosthetic anesthetic for postoperative pain after laparoscopic ventral hernia repair. A randomized clinical trial. JAMA Surg 2015; 150: 835-840. Eighty patients were allocated to saline or long-acting local anaesthetic injected between the mesh and the peritoneum. Postoperative pain was reduced by the local anaesthetic for up to 12 h (P = 0⋅01). Czarnetzki C, Elia N, Frossard J-L, Giostra E, Spahr L, Waeber J-L et al. Erythromycin for gastric emptying in patients undergoing general anesthesia for emergency surgery. A randomized clinical trial. JAMA Surg 2015; 150: 730-737.Some 137 patients were allocated randomly intravenous erythromycin 15 min before endotracheal intubation. Erythromycin improved the chance that the stomach was empty on intubation (as assessed by endoscopy): 80 versus 64 per cent. It also increased gastric pH from 2 to 6 (P = 0⋅002).

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Laparoscopic Mesh-augmented Hiatoplasty With Cardiophrenicopexy Versus Laparoscopic Nissen Fundoplication for the Treatment of Gastroesophageal Reflux Disease

Abstract: LNF is more effective in the treatment of GERD than LMAH-C. Procedure-related side effects seem to exist but do not affect the quality of life. Laparoscopic fundoplication therefore remains the standard surgical treatment for GERD.

Cited by 13 publications

References 30 publications

Randomized controlled trial of robotic-assisted versus conventional laparoscopic fundoplication: 12 years follow-up

Randomized controlled trial of robotic-assisted versus conventional laparoscopic fundoplication: 12 years follow-up

S2k-Leitlinie Gastroösophageale Refluxkrankheit und eosinophile Ösophagitis der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) – März 2023 – AWMF-Registernummer: 021–013

Scientific surgery

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