Laparoscopic vs. open Nissen's fundoplication for gastro-oesophageal reflux disease in children: A meta-analysis

Zhang, Peng; Tian, Jinhui; Li, Jing; Wang, Quan; Tian, Jianmin; Li, Lun

doi:10.1016/j.ijsu.2016.08.017

Cited by 21 publications

(12 citation statements)

References 19 publications

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“…5 In neurologically impaired children, especially in ones affected by seizures, the risk of recurrence of GOR and mortality after a fundoplication is higher compared with patients with a normal neurological level. 1,2,[6][7][8][9][10][11] For this reason, in recent years, TOGD has obtained an higher consensus in the surgical treatment of GOR in this kind of patients. In fact, it is now considered as a valid option not only as a 'rescue' intervention in patients with recurrence of GOR after fundoplication, but also as primary procedure with good results.…”

Section: Discussionmentioning

confidence: 99%

“…The X-ray contrast study on postoperative day (7 POD) did not show the presence of complications in all the children of the laparoscopic group and in four children of the robotic one. In the boy with oesophageal atresia history and oesophageal perforation in presence of an on-lay mesh, the X-ray contrast study detected a dehiscence of the oesophago-jejunal anastomosis.In the laparoscopic group, the feeding restarted on POD 7 (range 5-11), while in the robotic group, on POD 8 (range[6][7][8][9][10][11][12][13]. Feeding of the patients usually began with clear liquid feedings through the gastrostomy.…”

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confidence: 99%

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Total oesophago‐gastric dissociation in neurologically impaired children: Laparoscopic vs robotic approach

Mattioli

Wong

Angotti

et al. 2019

Robotics Computer Surgery

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Purpose:To evaluate and compare the feasibility and short-term results of laparoscopic and robotic total oesophago-gastric dissociation (TOGD) with a Roux-en-Y oesophago-jejunostomy. Minimal invasive surgery has multiple advantages in neurologically impaired patients. Robotic approach has overcome disadvantages linked to laparoscopy, in particular, referring to the surgeon fatigue. Methods: A retrospective study comparing five laparoscopic and five robotic TOGD was conducted between February and October 2016 in Giannina Gaslini Children's Hospital and Section of Pediatric Surgery of Siena. Neurologically impaired children scheduled for TOGD were included. Age, sex, weight, symptomatology, presence of epilepsy, and preoperative X-ray contrast were considered. Operative time, hospital stay, postoperative complications, redo surgery, nutrition rehabilitation, and X-ray contrast study after 5 days and after 1 month from the intervention were recorded.Results: In our series, there were no intraoperative complications, no conversions to open surgery, and no vagal lesions. In two of five robotic cases, a pyloroplasty was necessary. The median operative time was statistically longer in the robotic group.One dehiscence in the robotic group was recorded, and no dumping episodes occurred. No statistical differences in terms of complications were detected.Conclusion: TOGD is feasible both with laparoscopic and robotic-assisted surgery with similar results. Robotic approach is considered feasible. At the same time, high laparoscopic skills allow to reach the same results as robotic approach with shorter operative time. K E Y W O R D Sgastro-oesophageal reflux, laparoscopic surgery, mininvasive surgery, neurological impairment, paediatric surgery, robotic surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Total oesophago‐gastric dissociation in neurologically impaired children: Laparoscopic vs robotic approach

Mattioli

Wong

Angotti

et al. 2019

Robotics Computer Surgery

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“…Table 5. Child and parents/caregiver quality of life (6)(7)(8). *Score derived from a 5-point Likert scale (1: excellent; 2: good: 3: average; 4: poor; 5: terrible).…”

Section: Discussionmentioning

confidence: 99%

Nissen fundoplication and combined procedures to reduce recurrence of gastroesophageal reflux disease in neurologically impaired children

Ceriati

Marchetti

Caccamo

et al. 2020

Sci Rep

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Neurologically impaired children account for almost half of the fundoplication procedures performed for gastroesophageal reflux disease. Aim of the present study was to report results of antireflux surgery in neurologically impaired children. A retrospective study of neurologically impaired children who underwent fundoplication over a 13-year period (1999-2012) was performed. Recurrence rate, major complications and parents/caregivers perceptions of their child's quality of life following antireflux surgery were analyzed. A total of 122 children (median age: 8 years 9 months; range: 3 months to 18 years) had open "tension-free" Nissen fundoplication, gastrostomy + /− pyloroplasty. Gastroesophageal reflux disease was in all cases documented by at least two diagnostic exams. Median duration of follow-up was 9.7 (1.9-13) years. Three (2.4%) recurrences were documented and required surgery redo. Major complications were 6%. Seventy-nine of 87 (90%) caregivers reported that weight gain was improved after fundoplication with a median score of 1 (IQR: 1-2). Significant improvement was perceived in postoperative overall quality of life. In this series of fundoplication recurrence incidence was low, serious complications were uncommon and caregivers' satisfaction with surgery was high. Accurate patient's selection and creating a "low-pressure" surgical system are mandatory to obtain these results.

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“…21 The laparoscopic approach has been associated with a lower incidence of retching, shorter length of stay, and less morbidity, but a higher cost and longer operative times. 5, [22][23][24][25][26] Some authors have also reported a higher rate of recurrence of GERD in the laparoscopic approach compared with the open approach. 5, 23,27 In the past 5 years, there has been one prospective randomized trial comparing recurrence of GERD in children for the two approaches.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Fundoplication for the Surgical Management of Gastroesophageal Reflux Disease in Children

Dekonenko

Holcomb

2020

Eur J Pediatr Surg

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Gastroesophageal reflux (GER) is common in infants generally resolving in early childhood. However, gastroesophageal reflux disease (GERD) is diagnosed when persistent troublesome symptoms and/or complications of GER develop. These symptoms and complications can significantly affect the quality of life, thus requiring medical or surgical treatment. Medical management is typically trialed, but operative treatment is indicated with severe symptoms such as aspiration pneumonia, apneic episodes, bradycardia, apparent life-threatening events, severe vomiting, failure to thrive, esophagitis, stricture, and failed medical therapy. We review the recent literature on the indications and outcomes for laparoscopic fundoplication in the management of pediatric GERD.

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Laparoscopic vs. open Nissen's fundoplication for gastro-oesophageal reflux disease in children: A meta-analysis

Cited by 21 publications

References 19 publications

Total oesophago‐gastric dissociation in neurologically impaired children: Laparoscopic vs robotic approach

Total oesophago‐gastric dissociation in neurologically impaired children: Laparoscopic vs robotic approach

Nissen fundoplication and combined procedures to reduce recurrence of gastroesophageal reflux disease in neurologically impaired children

Laparoscopic Fundoplication for the Surgical Management of Gastroesophageal Reflux Disease in Children

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