Randomized clinical trial of laparoscopic <i>versus</i> open fundoplication for gastro-oesophageal reflux disease

Ackroyd, Roger; Watson, David I.; Majeed, Ali W.; Troy, G; Treacy, P. J.; Stoddard, C. J.

doi:10.1002/bjs.4574

Cited by 130 publications

(124 citation statements)

References 29 publications

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“…Thus, with a well organized set-up and experienced surgeons, the total cost of LNF was reduced by ¤1135, although it remained ¤402 more expensive than CNF. LNF and CNF were equally effective and safe in both studies, comparable to published findings 2,3,6 .…”

Section: Mean(sd) Hospital Stay Was 4·5(1·5) 5·8(1·3) and 4·2(3·4)supporting

confidence: 87%

Randomized clinical trial and follow-up study of cost-effectiveness of laparoscopic versus conventional Nissen fundoplication

Draaisma

Buskens

Bais

et al. 2006

British Journal of Surgery

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Background: Laparoscopic Nissen fundoplication (LNF) has essentially replaced its conventional open counterpart (CNF). An economic evaluation of LNF compared with CNF based on prospective data with adequate follow-up is lacking.Methods: Data from two consecutive studies (a randomized clinical trial (RCT) of 57 patients undergoing LNF and 46 undergoing CNF that was terminated prematurely, and a follow-up study of 121 consecutive patients with LNF) were combined to determine incremental cost-effectiveness 1 year after surgery.Results: Mean operating time, reoperation rate and hospital costs of LNF were lower in the second series. The mean overall hospital cost per patient was ¤9126 for LNF and ¤6989 for CNF at 1 year in the initial RCT, and ¤7782 in the second LNF series. The success rate of both LNF and CNF at 1 year was 91 per cent in the RCT, and LNF was successful in 90·1 per cent in the second series. A cost reduction of ¤998 for LNF would cancel out the cost advantage of CNF. Similarly, if the reoperation rate after LNF decreased from 0·05 to below 0·008 and/or if the mean duration of sick leave after LNF was reduced from 67·2 to less than 61·1 days, the procedure would become less expensive than CNF. Complications, reoperation rate and quality of life after both operations were similar. Conclusion:Including reinterventions, the outcome at 1 year after LNF and CNF was similar. In a well organized setting with appropriate expertise, the cost advantage of CNF may be neutralized.

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Section: Mean(sd) Hospital Stay Was 4·5(1·5) 5·8(1·3) and 4·2(3·4)supporting

confidence: 87%

Randomized clinical trial and follow-up study of cost-effectiveness of laparoscopic versus conventional Nissen fundoplication

Draaisma

Buskens

Bais

et al. 2006

British Journal of Surgery

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“…Generally, a shortened postoperative hospital stay and faster recovery [31,32] as well as reduced pain [33,34] are the main advantages of laparoscopic surgery. In this study, there was no significant difference in operating times between patients undergoing open and laparoscopic surgery.…”

Section: Surgical Procedures and Patient Satisfactionmentioning

confidence: 99%

Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation

Soejima

Goto

et al. 2010

Environ Health Prev Med

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Objectives Vietnamese patients' views on healthcare are changing as surgical interventions become more commonplace, but their views on perioperative care have remained largely unstudied during this period of rapid change. This study assesses Vietnamese patients' impression of anesthesia safety and postoperative pain in relation to clinical outcomes with the aim of improving patientcentered perioperative care. Methods The study cohort consisted of 180 hospitalized patients who were followed for 24 h following abdominal surgery. The assessments of these patients on the use of anesthesia and postoperative pain were measured by means of a 5-point Likert scale survey. Perioperative events were recorded on standardized forms by medical staff. The relationship between relevant factors affecting the patients' perceptions of anesthesia safety, postoperative symptoms, and pain was examined using multiple logistic regression analysis.Results The perception of a low level of anesthesia safety by 105 patients (59%) was associated with a low satisfaction in terms of preoperative anesthesia education [odds ratio (OR) 15.03], poor interaction with family (OR 21.80), and absence of perioperative adverse effects (OR 6.10). The occurrence of three or more postoperative symptoms (59%) was associated with a surgery C3 h (OR 2.00). Severe pain at 2 h (25%) post-surgery was associated with male gender (OR 2.08) and open surgery (OR 3.30), no reduction in pain at 24 h (51%) was associated with female gender (OR 2.08), and experiencing as much or more pain than expected (46%) was associated with blood loss C100 ml (OR 1.04) and low satisfaction with staff communication (OR 1.90). Conclusion Our results suggest that facilitating patients' communication with staff and families and paying attention to gender differences in pain management are important factors to take into consideration when the aim is to improve perioperative care in the rapidly developing healthcare environment of Vietnam.

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“…[22][23][24][25][26][27][28][29] In this study, LIE was associated with a significantly shorter length of hospital stay compared with THE, although the duration of the intensive care unit stay was not significantly different. One possible explanation for the shorter length of stay after minimally invasive esophagectomy is the method and adequacy of postoperative analgesia.…”

Section: Commentmentioning

confidence: 92%

Comparison of Laparoscopic Inversion Esophagectomy and Open Transhiatal Esophagectomy for High-Grade Dysplasia and Stage I Esophageal Adenocarcinoma

et al. 2009

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Randomized clinical trial of laparoscopic versus open fundoplication for gastro-oesophageal reflux disease

Abstract: The laparoscopic approach to Nissen fundoplication improved early postoperative recovery, with an equally good outcome up to 12 months.

Cited by 130 publications

References 29 publications

Randomized clinical trial and follow-up study of cost-effectiveness of laparoscopic versus conventional Nissen fundoplication

Randomized clinical trial and follow-up study of cost-effectiveness of laparoscopic versus conventional Nissen fundoplication

Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation

Comparison of Laparoscopic Inversion Esophagectomy and Open Transhiatal Esophagectomy for High-Grade Dysplasia and Stage I Esophageal Adenocarcinoma

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