Short-term outcome after laparoscopic and open 360° fundoplication

Wenner, Jörgen; Nilsson, Gustav; Öberg, Sven; Melin, Tor; Larsson, Sven; Johnsson, Folke

doi:10.1007/s00464-001-9043-4

Cited by 49 publications

(29 citation statements)

References 6 publications

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“…However these complications included both major and minor and whether this difference is clinically significant remains to be seen. ONF still takes less time and is comparable to the constituent studies [13,14,19,[23][24][25][26][27][28][29][30][31][32][33][34][35] although this difference may disappear with progression along the learning curve as has been observed already in some European centres. Some studies have already shown a reduction of operating time for LNF [19].…”

Section: Resting Oesophageal Pressures After 5 Yearssupporting

confidence: 51%

“…There was no significant heterogeneity amongst trials [19,[30][31][32]35] and there was no significant heterogeneity (…”

Section: Overall Mortalitymentioning

confidence: 82%

“…Sixteen studies [13,14,19,[23][24][25][26][27][28][29][30][31][32][33][34][35] on nine randomized controlled trials comparing LNF with ONF were retrieved from the electronic databases and included in our study according to our inclusion criteria (Table 1). Three trials [12,17,36] were excluded ( Table 2).…”

Section: Resultsmentioning

confidence: 99%

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A meta-analysis of outcomes after open and laparoscopic Nissen's fundoplication in the treatment for gastro-oesophageal reflux disease

et al. 2011

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Background: A meta-analysis of published literature comparing peri-operative, short-term and longterm outcomes after open Nissen's fundoplication (ONF) versus laparoscopic Nissen fundoplication (LNF) for gastro-oesophageal reflux disease.Methods: Electronic databases were searched from January 1991 to October 2009. A systematic review was performed to obtain a summative outcome.Results: Nine randomized controlled trials involving 657 patients were analysed. Three hundred and thirty-six patients were in the laparoscopic and 321 in the open groups. LNF took longer to perform compared with ONF [random effects model: SMD ¼ À1.64, 95% CI (À2.21, À1.06), z ¼ À5.57, df ¼ 8, p < 0.0001]. Patients undergoing LNF stayed in hospital for less time [random effects model: SMD ¼ 1.19, 95% CI (0.74, 1.65), z ¼ À5.14, df ¼ 8, p < 0.0001] and returned to work sooner [random effects model: SMD ¼ 1.23, 95% CI (0.37, 2.09), z ¼ 2.81, df ¼ 5, p < 0.01]. No difference was seen for morbidity or mortality. Symptomatic outcomes after LNF were comparable to ONF in the short and long terms. LNF fared slightly worse than ONF at 6 months in relation to dysphagia; however, this difference disappeared at 12 months follow-up.Conclusions: Laparoscopic Nissen's fundoplication is safe, effective and has shorter hospital stays and is associated with an earlier return to work. LNF is comparable to ONF for symptoms and has a high patient satisfaction rate. This approach may be considered as a first line operative technique; however, further follow-up trials focusing on 6-month outcomes are required to strengthen the evidence.

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Section: Resting Oesophageal Pressures After 5 Yearssupporting

confidence: 51%

“…There was no significant heterogeneity amongst trials [19,[30][31][32]35] and there was no significant heterogeneity (…”

Section: Overall Mortalitymentioning

confidence: 82%

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A meta-analysis of outcomes after open and laparoscopic Nissen's fundoplication in the treatment for gastro-oesophageal reflux disease

et al. 2011

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“…Six months after surgery, the laparoscopic group reported significantly more sleep disturbances on the ad hoc questionnaire. In another publication from the same study, the authors used the Gastrointestinal Symptom Rating Scale (GSRS) [122] to analyze the differences in QoL between the two surgical approaches [143]. The GSRS scores did not differ between the two groups 1 and 6 months after surgery.…”

Section: Long-term Improvement Of Qol Is Not Different When Compared mentioning

confidence: 99%

Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

et al. 2004

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Background: Measuring health-related quality of life (QoL) after surgery is essential for decision making by patients, surgeons, and payers. The aim of this consensus conference was twofold. First, it was to determine for which diseases endoscopic surgery results in better postoperative QoL than open surgery. Second, it was to recommend QoL instruments for clinical research. Methods: An expert panel selected 12 conditions in which QoL and endoscopic surgery are important. For each condition, studies comparing endoscopic and open surgery in terms of QoL were identified. The expert panel reached consensus on the relative benefits of endoscopic surgery and recommended generic and disease-specific QoL instruments for use in clinical research. Results: Randomized trials indicate that QoL improves earlier after endoscopic than open surgery for gastroesophageal reflux disease (GERD), cholecystolithiasis, colorectal cancer, inguinal hernia, obesity (gastric bypass), and uterine disorders that require hysterectomy. For spleen, prostate, malignant kidney, benign colorectal, and benign non-GERD esophageal diseases, evidence from nonrandomized trials supports the use of laparoscopic surgery. However, many studies failed to collect long-term results, used nonvalidated questionnaires, or measured QoL components only incompletely.

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“…During recent years, 14 publications from 9 randomized trials have dealt with the question of open or laparoscopic procedure for reflux disease [4,[12][13][14][15][16][17][18][19][39][40][41][42][43]. All of these trials have compared a full wrap by open or laparoscopic access and have shown similar or better outcomes from the laparoscopic approach as compared with open surgery.…”

Section: Discussionmentioning

confidence: 99%

Open vs laparoscopic partial posterior fundoplication

et al. 2007

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Short-term outcome after laparoscopic and open 360° fundoplication

Abstract: Laparoscopic 360 degrees fundoplication is as effective in treating reflux disease as open fundoplication. Six months postoperatively, no significant differences were seen in symptomatic or objective outcome. Long-term evaluation is needed.

Cited by 49 publications

References 6 publications

A meta-analysis of outcomes after open and laparoscopic Nissen's fundoplication in the treatment for gastro-oesophageal reflux disease

A meta-analysis of outcomes after open and laparoscopic Nissen's fundoplication in the treatment for gastro-oesophageal reflux disease

Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

Open vs laparoscopic partial posterior fundoplication

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