Laparoscopic or open fundoplication?

Abstract

The total community-based costs for the open and laparoscopic operations for chronic GERD amounted to 74,608 and 40,289 SEK, respectively. Thus, we would recommend the laparoscopic procedure in most cases.

Open vs laparoscopic partial posterior fundoplication

“…The operation time, at the time of the trial, was approximately 15 minutes longer for the laparoscopic technique. Complications requiring active intervention, such as surgery or pharmacological treatment, were more frequent in the open procedure group, as was the length of stay and the time off work, similar to those reported in other trials [13,17,50]. The number of readmissions during the time of follow-up was significantly higher in the open group in comparison to the laparoscopic, as was the number of postoperative incisional hernias (p < 0.05).…”

A Comparison of Pre-operative Comorbidities and Post-operative Outcomes among Patients Undergoing Laparoscopic Nissen Fundoplication at High- and Low-Volume Centers

“…13 Acceptance of LNF has been driven by outcome-based comparisons between open and laparoscopic procedures, which have demonstrated benefits of minimally invasive surgery with respect to length of stay, pain, costs, morbidity, mortality, and overall patient satisfaction. [14][15][16][17][18] Conversely, outcome assessments can also be used to demonstrate shortcomings of laparoscopic surgery and thus further refine technique or patient selection to ultimately improve patient care. The development of state-wide and nationwide databases have aided in this endeavor as they provide benchmarks against which both academic and community surgeons can compare themselves.…”

Comparison of laparoscopic and open Nissen fundoplication 2 years after operationrid=""

“…The advantages in the immediate postoperative course and cost-effectiveness [2,11] have made the laparoscopic operation an attractive alternative, resulting in an increase in the number of anti-reflux operations [24]. At least in the hands of highly experienced laparoscopic antireflux surgeons [4,13], the results seem to be comparable with the best open results [6].…”