Laparoscopic Repair of Giant Paraesophageal Hernia: 100 Consecutive Cases

Luketich, James D.; Raja, Siva; Fernando, Hiran C.; Campbell, William; Christie, Neil A.; Buenaventura, Percival O.; Keenan, Robert J.; Schauer, Philip R.

doi:10.1097/00000658-200010000-00016

Cited by 199 publications

(111 citation statements)

References 15 publications

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“…Patients with recurrent disease (four after Nissen fundoplication and five after partial posterior fundoplication), re-done fundoplication (n=7) or with giant hernias (n=8) were excluded from the study. Giant hernias were diagnosed if more than 50% of the stomach was herniated into the chest [15].…”

Section: Methodsmentioning

confidence: 99%

Nissen or partial posterior fundoplication: which antireflux procedure has a lower rate of side effects?

Wykypiel

Gadenstaetter

Alexander

et al. 2005

Langenbecks Arch Surg

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Section: Methodsmentioning

confidence: 99%

Nissen or partial posterior fundoplication: which antireflux procedure has a lower rate of side effects?

Wykypiel

Gadenstaetter

Alexander

et al. 2005

Langenbecks Arch Surg

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“…LARS for paraesophageal hiatal hernias is a challenging procedure 21,22 , with most patients being older individuals with a higher risk of postoperative complications 11,23,24 . Accordingly, LARS for these patients is associated with higher mortality and morbidity rates than LARS for non-elderly GERD patients 23,25 .…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Outcomes of Laparoscopic Surgery in Patients with Gastroesophageal Reflux and Related Disease: A Single Center Experience

et al. 2017

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Background: Laparoscopic anti-reflux surgery (LARS) is generally the treatment of choice for patients with gastroesophageal reflux disease (GERD). This report describes our experiences in performing LARS on patients with GERD, and focuses retrospectively on the pathophysiology of individual patients and the current status of Japanese patients who have undergone LARS. We demonstrate that patients with non-erosive reflux disease resistant to proton pump inhibitors (PPI-resistant NERD) and high-risk giant hernia, whom we are sometimes hesitant to treat surgically, can be safely and successfully treated with LARS (depending on the pathophysiology of individual patients).

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“…Thoraxmagen. Hier berichtet Luketich [12] über eine intraoperative Komplikationsrate von 12%. Dabei handelt es sich in 3% um eine Magenverletzung, in 5% um eine Ösophagusperfo-ration und in 4% um einen Pneumothorax durch Eröffnung der Pleura, die das Einbringen einer Thoraxdrainage notwendig machte.…”

Section: Laparoskopische Fundoplikationunclassified

Typische intraoperative Komplikationen in der laparoskopischen Chirurgie

Köckerling

Grund

Jacob

2012

Chirurg

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For all common laparoscopic procedures (e. g. cholecystectomy, appendectomy, inguinal hernia repair, fundoplication and colorectal resection) it has been possible to demonstrate in systematic reviews and meta-analyses that they produce better results in terms of perioperative outcome than open surgery. Accordingly, there are very few publications that report on intraoperative complications and their management. In this respect a distinction must be made between positioning complications, access complications and complications related to the pneumoperitoneum, which can manifest in all laparoscopic procedures, as well as the specific complications associated with individual procedures.The main focus of any consideration of intraoperative complications must of course be on strategies to prevent the occurrence. If intraoperative complications have occurred, the most important aspect is the diagnosis and control with prime importance accorded to which complications can still be controlled using a laparoscopic approach and when an open procedure must be used. In general a switch to open surgery should be made in the event of serious complications. Only a highly experienced laparoscopic surgeon will be able to safely manage complications once they have occurred without putting the patient at further risk. In doubtful situations the approach that poses least risk is open surgery for complications that have already occurred.

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Laparoscopic Repair of Giant Paraesophageal Hernia: 100 Consecutive Cases

Cited by 199 publications

References 15 publications

Nissen or partial posterior fundoplication: which antireflux procedure has a lower rate of side effects?

Nissen or partial posterior fundoplication: which antireflux procedure has a lower rate of side effects?

Characteristics and Outcomes of Laparoscopic Surgery in Patients with Gastroesophageal Reflux and Related Disease: A Single Center Experience

Typische intraoperative Komplikationen in der laparoskopischen Chirurgie

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