Ambulatory laparoscopic fundoplication for gastroesophageal reflux disease: a systematic review

Mariette, C.; Pessaux, Patrick

doi:10.1007/s00464-011-1682-5

Cited by 23 publications

(14 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…More recently, reoperation incidence is reported to be resembling 5%[11]. A systematic review performed on elective LF documented an overall reoperation incidence approximating 0.6%[12]. In the nationwide study from Denmark, an incidence near to 5% of redo antireflux surgery was reported in 2589 patients[13].…”

Section: Introductionmentioning

confidence: 99%

Pre-operative clinical and instrumental factors as antireflux surgery outcome predictors

Tolone

Gualtieri

Savarino

et al. 2016

WJGS

View full text Add to dashboard Cite

Gastroesophageal reflux disease (GERD) is nowadays a highly prevalent, chronic condition, with 10% to 30% of Western populations affected by weekly symptoms. Many patients with mild reflux symptoms are treated adequately with lifestyle modifications, dietary changes, and low-dose proton pump inhibitors (PPIs). For those with refractory GERD poorly controlled with daily PPIs, numerous treatment options exist. Fundoplication is currently the most commonly performed antireflux operation for management of GERD. Outcomes described in current literature following laparoscopic fundoplication indicate that it is highly effective for treatment of GERD; early clinical studies demonstrate relief of symptoms in approximately 85%-90% of patients. However it is still unclear which factors, clinical or instrumental, are able to predict a good outcome after surgery. Virtually all demographic, esophagogastric junction anatomic conditions, as well as instrumental (such as presence of esophagitis at endoscopy, or motility patterns determined by esophageal high resolution manometry or reflux patterns determined by means of pH/impedance-pH monitoring) and clinical features (such as typical or atypical symptoms presence) of patients undergoing laparoscopic fundoplication for GERD can be factors associated with symptomatic relief. With this in mind, we sought to review studies that identified the factors that predict outcome after laparoscopic total fundoplication.

show abstract

Section: Introductionmentioning

confidence: 99%

Pre-operative clinical and instrumental factors as antireflux surgery outcome predictors

Tolone

Gualtieri

Savarino

et al. 2016

WJGS

View full text Add to dashboard Cite

show abstract

“…A systematic review of ambulatory anti-reflux surgery described a range of 0–12.2% with an extrapolated mean of 3.5%. However, the authors comment that the evidence available for inclusion was poor quality [34]. A cohort study from the same group containing approximately 300 patients had a 30-day readmission rate of 8% [35], whilst a smaller cohort study of 113 patients who underwent day-case anti-reflux surgery in Sheffield had a rate of 3.5% [36].…”

Section: Discussionmentioning

confidence: 99%

“…Several single-centre case series have been published which have indicated that day-case LARS can be performed safely in selected patients, with similar post-operative morbidity and mortality to those who undergo an inpatient stay, although no randomised trials have been carried out [34–38]. The one prospective study that examined cost found an estimated saving of 2367 Euros (assuming day of surgery admission as is standard UK practice) [35].…”

Section: Discussionmentioning

confidence: 99%

Variation in laparoscopic anti-reflux surgery across England: a 5-year review

Palser

Ceney²,

Navarro

et al. 2018

Surg Endosc

View full text Add to dashboard Cite

BackgroundLaparoscopic anti-reflux surgery (LARS) remains central to the management of gastro-oesophageal reflux disease but the scale and variation in provision in England is unknown. The aims of this study were firstly to examine the processes and outcomes of anti-reflux surgery in England and compare them to national guidelines and secondly to explore potential variations in practice nationally and establish peer benchmarks.MethodsAll adult patients who underwent LARSin England during the Financial years FY 2011/2012–FY 2016/2017 were identified in the Surgeon’s Workload Outcomes and Research Database (SWORD), which is based on the Hospital Episode Statistics (HES) data warehouse. Outcomes included activity volume, day-case rate, short-stay rate, 2- and 30-day readmission rates and 30-day re-operation rates. Funnel plots were used to identify national variation in practice.ResultsIn total, 12,086 patients underwent LARS in England during the study period. The operation rate decreased slightly over the study period from 5.2 to 4.6 per 100,000 people. Most outcomes were in line with national guidelines including the conversion rate (0.76%), 30-day re-operation rate (1.43%) and 2- and 30-day readmission rates (1.65 and 8.54%, respectively). The day-case rate was low but increased from 7.4 to 15.1% during the 5-year period. Significant variation was found, particularly in terms of hospital volume, and day-case, short-stay and conversion rates.ConclusionAlthough overall outcomes are comparable to studies from other countries, there is significant variation in anti-reflux surgery activity and outcomes in England. We recommend that units use these data to drive local quality improvement efforts.

show abstract

“…Nombre d'interventions chirurgicales digestives sont aujourd'hui pratiquées en routine en ambulatoire, parmi lesquelles la cholécystectomie [3], la cure de hernie [4], la fundoplicature [5] ou l'appendicectomie [6]. La voie d'abord mini-invasive pourrait permettre d'étendre la prise en charge ambulatoire à d'autres procédures plus lourdes.…”

Section: Introductionunclassified

“…indice de masse corporelle ; score ASA : score de l'American Society of Anesthesiologists.Tableau 2 Indications et types d'intervention.IndicationsKyste hépatique, n (Interventions Fenestration de kyste, n (%) 10 (50) Résection atypique, n (%) 10 (50) Laparoscopie par trocart unique, n (%) 1(5) cancer colorectal dans 4 cas (Tableau 2). *Selon des critères anatomiques.…”

unclassified

Chirurgie hépatique mineure par laparoscopie en ambulatoire : étude rétrospective observationnelle

Gaillard

Tranchart

Laïnas

et al. 2015

Journal de Chirurgie Viscérale

View full text Add to dashboard Cite

MOTS CLÉSChirurgie hépatique laparoscopique ; Chirurgie ambulatoire Résumé Au cours de la dernière décennie, la chirurgie hépatique laparoscopique (CHL) a connu un essor dans le monde entier. Parallèlement, la chirurgie ambulatoire a été développée afin d'améliorer le confort des patients et de réduire les dépenses de santé. L'objectif de cette étude est de rapporter notre expérience préliminaire de la CHL en ambulatoire. Entre 1999 et 2014, 172 patients ont été opérés dans notre institution d'une CHL, incluant 151 résections hépatiques et 21 fenestrations de kystes hépatiques. Tous les patients consécutifs, hautement sélectionnés, opérés d'une CHL en ambulatoire ont été inclus. Vingt patients ont été opérés d'une CHL en ambulatoire. Les indications étaient des kystes hépatiques dans 10 cas, un angiome hépatique dans 3 cas, une hyperplasie nodulaire focale dans 3 cas, et une métastase hépatique de cancer colorectal dans 4 cas. La durée opératoire médiane était de 92 minutes (dispersion : 50-240 minutes). La perte sanguine médiane était de 35 mL (dispersion : 20-150 mL). Il n'a pas été observé de complication ni de réhospitalisation. Tous les patients étaient hospitalisés en postopératoire dans notre unité de chirurgie ambulatoire, et ont pu quitter l'établissement 5 à 7 heures après la fin de la chirurgie. Le score médian de douleur postopératoire à la sortie était de 3 (échelle visuelle analogique à 10 niveaux ; dispersion : 0-4). Le score médian de qualité de vie à la première consultation postopératoire était de 8 (dispersion : 6-10), et le DOI de l'article original : http://dx. ARTICLE IN PRESSModele + 2 M. Gaillard et al. score médian de satisfaction esthétique était de 8 (dispersion : 7-10). Cette série montre que la CHL ambulatoire est faisable et sûre et chez des patients sélectionnés pour des interventions mineures.Summary Over the last decade, laparoscopic hepatic surgery (LHS) has been increasingly performed throughout the world. Meanwhile, ambulatory surgery has been developed and implemented with the aims of improving patient satisfaction and reducing health care costs. The objective of this study was to report our preliminary experience with ambulatory minimallyinvasive LHS. Between 1999 and 2014, 172 patients underwent LHS at our institution, including 151 liver resections and 21 fenestrations of hepatic cysts. The consecutive series of highly selected patients who underwent ambulatory LHS were included in this study. Twenty patients underwent ambulatory LHS. The indications were liver cysts in 10 cases, liver angioma in 3 cases, focal nodular hyperplasia in 3 cases, and colorectal hepatic metastasis in 4 cases. The median operative time was 92 minutes (range: 50-240 minutes). The median blood loss was 35 mL (range: 20-150 mL). There were no postoperative complications or re-hospitalizations. All patients were hospitalized after surgery in our ambulatory surgery unit, and were discharged 5-7 hours after surgery. The median postoperative pain score at the time of discharge was 3 (visual analogue sca...

show abstract

Ambulatory laparoscopic fundoplication for gastroesophageal reflux disease: a systematic review

Cited by 23 publications

References 26 publications

Pre-operative clinical and instrumental factors as antireflux surgery outcome predictors

Pre-operative clinical and instrumental factors as antireflux surgery outcome predictors

Variation in laparoscopic anti-reflux surgery across England: a 5-year review

Chirurgie hépatique mineure par laparoscopie en ambulatoire : étude rétrospective observationnelle

Contact Info

Product

Resources

About