Laparoscopic antireflux surgery - our initial experience

Introduction: Laparoscopic antireflux surgery (LARS) currently represents the gold standard in the surgical management of gastrointestinal reflux disease (GERD) with minimal morbidity and mortality. Routine fundoplication following laparoscopic Heller’s cardiomyotomy is also being recommended to re...

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Autores principales:	S Pradhan, Bikal Ghimire, P Kansakar, YP Singh, P Vaidya, P Sayami
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Laparoscopic antireflux surgery Hiatus hernia GERD Achalasia cardia Surgery RD1-811
Acceso en línea:	https://doaj.org/article/52745ba553eb4d99b2a1676ccd082382
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spelling	oai:doaj.org-article:52745ba553eb4d99b2a1676ccd0823822021-12-05T19:16:44ZLaparoscopic antireflux surgery - our initial experience10.3126/jssn.v18i3.152691815-39842392-4772https://doaj.org/article/52745ba553eb4d99b2a1676ccd0823822016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15269https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Laparoscopic antireflux surgery (LARS) currently represents the gold standard in the surgical management of gastrointestinal reflux disease (GERD) with minimal morbidity and mortality. Routine fundoplication following laparoscopic Heller’s cardiomyotomy is also being recommended to reduce the incidence of pathological gastro-oesophageal reflux after surgery. The aim of the current study was to evaluate patients receiving LARS and to assess their surgical outcomes Methods: Prospective data of all patients admitted in our department with these diseases and undergoing LARS, from May 2014 to November 2015 were reviewed. Patients with Achalasia cardia underwent Laparoscopic Heller’s cardiomyotomy with Dor’s fundoplication and those with GERD with hiatus hernia underwent Laparoscopic Toupet’s fundoplication. Age, sex, duration of surgery, surgical morbidity and hospital stay were recorded. Results: Eleven patients underwent LARS. Females were 5(45.5%) and males were 6 (54.5%). Mean age of patients was 36.18 ± 15.79 years (range 18-68 years). 6 patients (54.5%) underwent Laparoscopic Heller’s cardiomyotomy with Dor’s fundoplication for Achalasia cardia while 5 patients (45.5%) underwent Laparoscopic fundoplication. The median operating room time was 133.64 ± 15.66 minutes (range, 110–160). There were no conversions. The median hospital stay was 3.45±0.522 days (range, 3-4 days). No postoperative complications or preoperative deaths occurred. No patient had a perforation revealed on the postoperative contrast swallow when performed. Gastro esophageal reflux symptoms were significantly improved and severity of dysphagia was also reduced after surgery. The average follow-up period is 5.45 ± 2.67 months (range, 3- 12). Conclusion: LARS is well established technique and becoming more popular over conventional open surgery in view of its equal safety and efficacy with added advantage of less morbidity and mortality. However larger case series and long term follow up would be warranted. S PradhanBikal GhimireP KansakarYP SinghP VaidyaP SayamiSociety of Surgeons of NepalarticleLaparoscopic antireflux surgeryHiatus herniaGERDAchalasia cardiaSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Laparoscopic antireflux surgery Hiatus hernia GERD Achalasia cardia Surgery RD1-811
spellingShingle	Laparoscopic antireflux surgery Hiatus hernia GERD Achalasia cardia Surgery RD1-811 S Pradhan Bikal Ghimire P Kansakar YP Singh P Vaidya P Sayami Laparoscopic antireflux surgery - our initial experience
description	Introduction: Laparoscopic antireflux surgery (LARS) currently represents the gold standard in the surgical management of gastrointestinal reflux disease (GERD) with minimal morbidity and mortality. Routine fundoplication following laparoscopic Heller’s cardiomyotomy is also being recommended to reduce the incidence of pathological gastro-oesophageal reflux after surgery. The aim of the current study was to evaluate patients receiving LARS and to assess their surgical outcomes Methods: Prospective data of all patients admitted in our department with these diseases and undergoing LARS, from May 2014 to November 2015 were reviewed. Patients with Achalasia cardia underwent Laparoscopic Heller’s cardiomyotomy with Dor’s fundoplication and those with GERD with hiatus hernia underwent Laparoscopic Toupet’s fundoplication. Age, sex, duration of surgery, surgical morbidity and hospital stay were recorded. Results: Eleven patients underwent LARS. Females were 5(45.5%) and males were 6 (54.5%). Mean age of patients was 36.18 ± 15.79 years (range 18-68 years). 6 patients (54.5%) underwent Laparoscopic Heller’s cardiomyotomy with Dor’s fundoplication for Achalasia cardia while 5 patients (45.5%) underwent Laparoscopic fundoplication. The median operating room time was 133.64 ± 15.66 minutes (range, 110–160). There were no conversions. The median hospital stay was 3.45±0.522 days (range, 3-4 days). No postoperative complications or preoperative deaths occurred. No patient had a perforation revealed on the postoperative contrast swallow when performed. Gastro esophageal reflux symptoms were significantly improved and severity of dysphagia was also reduced after surgery. The average follow-up period is 5.45 ± 2.67 months (range, 3- 12). Conclusion: LARS is well established technique and becoming more popular over conventional open surgery in view of its equal safety and efficacy with added advantage of less morbidity and mortality. However larger case series and long term follow up would be warranted.
format	article
author	S Pradhan Bikal Ghimire P Kansakar YP Singh P Vaidya P Sayami
author_facet	S Pradhan Bikal Ghimire P Kansakar YP Singh P Vaidya P Sayami
author_sort	S Pradhan
title	Laparoscopic antireflux surgery - our initial experience
title_short	Laparoscopic antireflux surgery - our initial experience
title_full	Laparoscopic antireflux surgery - our initial experience
title_fullStr	Laparoscopic antireflux surgery - our initial experience
title_full_unstemmed	Laparoscopic antireflux surgery - our initial experience
title_sort	laparoscopic antireflux surgery - our initial experience
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/52745ba553eb4d99b2a1676ccd082382
work_keys_str_mv	AT spradhan laparoscopicantirefluxsurgeryourinitialexperience AT bikalghimire laparoscopicantirefluxsurgeryourinitialexperience AT pkansakar laparoscopicantirefluxsurgeryourinitialexperience AT ypsingh laparoscopicantirefluxsurgeryourinitialexperience AT pvaidya laparoscopicantirefluxsurgeryourinitialexperience AT psayami laparoscopicantirefluxsurgeryourinitialexperience
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Laparoscopic antireflux surgery - our initial experience

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