BACKGROUND: The aim was to determine the feasibility of laparoscopic revision surgery following previous open and laparoscopic antireflux operations. METHODS: The outcome was determined for 27 patients (14 men, 13 women) who had undergone attempted laparoscopic revision between 3 months and 25 years after a previous antireflux operation. Median follow-up was 12 (range 3-48) months. RESULTS: Thirteen patients had previously had an open antireflux procedure (Nissen fundoplication, seven; transthoracic anatomical repair, five; Belsey procedure, one) and 14 a laparoscopic procedure (Nissen, 12; anterior partial fundoplication, two). The indications for revision were: recurrent reflux, 15; paraoesophageal hiatus hernia, six; troublesome dysphagia, six. Fifteen procedures comprised construction of a new Nissen fundoplication, six conversion from a Nissen to a partial wrap, three repair of a paraoesophageal hernia and three widening of the oesophageal hiatus. Revision was successfully completed laparoscopically in 12 patients following a previous laparoscopic procedure and in nine following a previous open operation. Median operating time was 105 min after previous open surgery and 80 min after laparoscopic surgery. No perioperative complications occurred in either group and a good outcome was achieved in 25 of the 27 patients. CONCLUSION: Laparoscopic reoperative antireflux surgery is feasible. Reoperation is likely to be more difficult following failure of an open procedure than a laparoscopic one.
BACKGROUND: The aim was to determine the feasibility of laparoscopic revision surgery following previous open and laparoscopic antireflux operations. METHODS: The outcome was determined for 27 patients (14 men, 13 women) who had undergone attempted laparoscopic revision between 3 months and 25 years after a previous antireflux operation. Median follow-up was 12 (range 3-48) months. RESULTS: Thirteen patients had previously had an open antireflux procedure (Nissen fundoplication, seven; transthoracic anatomical repair, five; Belsey procedure, one) and 14 a laparoscopic procedure (Nissen, 12; anterior partial fundoplication, two). The indications for revision were: recurrent reflux, 15; paraoesophageal hiatus hernia, six; troublesome dysphagia, six. Fifteen procedures comprised construction of a new Nissen fundoplication, six conversion from a Nissen to a partial wrap, three repair of a paraoesophageal hernia and three widening of the oesophageal hiatus. Revision was successfully completed laparoscopically in 12 patients following a previous laparoscopic procedure and in nine following a previous open operation. Median operating time was 105 min after previous open surgery and 80 min after laparoscopic surgery. No perioperative complications occurred in either group and a good outcome was achieved in 25 of the 27 patients. CONCLUSION: Laparoscopic reoperative antireflux surgery is feasible. Reoperation is likely to be more difficult following failure of an open procedure than a laparoscopic one.
Authors: F A Granderath; T Kamolz; U M Schweiger; M Pasiut; C F Haas; H Wykypiel; R Pointner Journal: Surg Endosc Date: 2002-02-08 Impact factor: 4.584
Authors: H Wykypiel; T Kamolz; P Steiner; A Klingler; F A Granderath; R Pointner; G J Wetscher Journal: Surg Endosc Date: 2005-07-28 Impact factor: 4.584
Authors: Al-Warith Al Hashmi; Guillaume Pineton de Chambrun; Regis Souche; Martin Bertrand; Vito De Blasi; Eric Jacques; Santiago Azagra; Jean Michel Fabre; Frédéric Borie; Michel Prudhomme; Nicolas Nagot; Francis Navarro; Fabrizio Panaro Journal: Surg Endosc Date: 2018-06-25 Impact factor: 4.584
Authors: Constantine T Frantzides; Atul K Madan; Mark A Carlson; Tallal M Zeni; John G Zografakis; Ronald M Moore; Mick Meiselman; Minh Luu; Georgios D Ayiomamitis Journal: J Laparoendosc Adv Surg Tech A Date: 2009-04 Impact factor: 1.878
Authors: Se Ryung Yamamoto; Masato Hoshino; Kalyana C Nandipati; Tommy H Lee; Sumeet K Mittal Journal: Surg Endosc Date: 2013-10-03 Impact factor: 4.584