Laparoscopic Nissen repair: indications, techniques and long-term benefits

Abstract

The Nissen fundoplication is currently performed throughout the world, most frequently in a minimally invasive technique. Several randomized trials that have been performed in the past years document that the Nissen fundoplication is an effective procedure for the treatment of pathological gastro-oesophageal reflux disease when a critical indication is used for well-defined patients.

Weniger Refluxrezidive nach Nissen-Fundoplikation

“…In der chirurgischen Klinik der Universität Würzburg war die laparoskopische Fundoplikation bereits früh etabliert worden [10] mit einer stetigen Zunahme der OP-Zahlen [9]. Um die Langzeitwirksamkeit dieser Operation zu bewerten, wurden alle Patienten, die vor 10 oder mehr Jahren operiert wurden, nachuntersucht.…”

Quality of life and patient satisfaction after laparoscopic antireflux surgery using the QOLARS questionnaire

“…Healthrelated quality of life (HRQL) is significantly affected by GERD, and its evaluation is emerging as a factor important in the selection of treatment options for GERD and in assessing the outcome of different treatment strategies [17]. In recent years, laparoscopic antireflux surgery (LARS) has become the standard procedure for treating severe GERD [8]. Quality-of-life data and patient satisfaction are important issues in estimating the outcome of LARS [11,15].…”

Errors in laparoscopic surgery

“…Several randomized trials that have been performed in the past years document that the Nissen fundoplication is an effective procedure for the treatment of pathological gastro-esophageal reflux disease in appropriately selected patients [29]. Minimally invasive anti-reflux procedures provide sustained relief of GERD symptoms with low morbidity and rapid recovery.…”