BACKGROUND: There have been few comprehensive studies relating to the life-threatening or fatal complications of antireflux surgery. METHODS: Some 5502 antireflux operations were performed in Finland between January 1987 and January 1996 (population approximately 5 million); 3993 procedures (72.6 per cent) were open fundoplications, 1162 (21.1 per cent) laparoscopic fundoplications and 347 (6.3 per cent) other anti-reflux procedures. RESULTS: There were 43 fatal or life-threatening complications (prevalence 0.8 per cent). Twenty-two followed primary open fundoplication (prevalence 0.6 per cent), 15 laparoscopic fundoplication (prevalence 1.3 per cent) (P < 0.05), one refundoplication and five other antireflux procedures. The overall mortality rate was 0.3 per cent. Nine patients (0.2 per cent) died after open fundoplication, one (0.1 per cent) following laparoscopic fundoplication (P = 0.43), one following refundoplication and four after other antireflux procedures. Laparoscopic fundoplication was followed by 14 non-fatal life-threatening complications (prevalence 1.2 per cent), open fundoplication by 13 (prevalence 0.3 per cent) (P < 0.01) and other antireflux procedures by one life-threatening complication (0.3 per cent). CONCLUSION: Laparoscopic fundoplication was associated with more life-threatening complications than open fundoplication. This may compromise the advantages of the laparoscopic technique.
BACKGROUND: There have been few comprehensive studies relating to the life-threatening or fatal complications of antireflux surgery. METHODS: Some 5502 antireflux operations were performed in Finland between January 1987 and January 1996 (population approximately 5 million); 3993 procedures (72.6 per cent) were open fundoplications, 1162 (21.1 per cent) laparoscopic fundoplications and 347 (6.3 per cent) other anti-reflux procedures. RESULTS: There were 43 fatal or life-threatening complications (prevalence 0.8 per cent). Twenty-two followed primary open fundoplication (prevalence 0.6 per cent), 15 laparoscopic fundoplication (prevalence 1.3 per cent) (P < 0.05), one refundoplication and five other antireflux procedures. The overall mortality rate was 0.3 per cent. Nine patients (0.2 per cent) died after open fundoplication, one (0.1 per cent) following laparoscopic fundoplication (P = 0.43), one following refundoplication and four after other antireflux procedures. Laparoscopic fundoplication was followed by 14 non-fatal life-threatening complications (prevalence 1.2 per cent), open fundoplication by 13 (prevalence 0.3 per cent) (P < 0.01) and other antireflux procedures by one life-threatening complication (0.3 per cent). CONCLUSION: Laparoscopic fundoplication was associated with more life-threatening complications than open fundoplication. This may compromise the advantages of the laparoscopic technique.
Authors: Douglas Pleskow; Richard Rothstein; Richard Kozarek; Gregory Haber; Christopher Gostout; Simon Lo; Robert Hawes; Anthony Lembo Journal: Surg Endosc Date: 2007-11-20 Impact factor: 4.584
Authors: Reginald V N Lord; Anna Kaminski; Stefan Oberg; David J Bowrey; Jeffrey A Hagen; Steven R DeMeester; Lelan F Sillin; Jeffrey H Peters; Peter F Crookes; Tom R DeMeester Journal: J Gastrointest Surg Date: 2002 Jan-Feb Impact factor: 3.452
Authors: Marco Catarci; Paolo Gentileschi; Claudio Papi; Alessandro Carrara; Renato Marrese; Achille Lucio Gaspari; Giovanni Battista Grassi Journal: Ann Surg Date: 2004-03 Impact factor: 12.969
Authors: D von Renteln; I Schiefke; K H Fuchs; S Raczynski; M Philipper; W Breithaupt; K Caca; H Neuhaus Journal: Surg Endosc Date: 2009-05-14 Impact factor: 4.584