BACKGROUND: Several different ways of fashioning a total fundoplication lead to different outcomes. This article addresses the technical details of the antireflux technique we adopted without modifications for all patients with GERD beginning in 1972. In particular it aims to discuss the relation between the mechanism of function of the wrap and the physiology of the esophagus. METHODS: The study population consisted of 380 patients affected by GERD with a 1-year minimum of follow-up who underwent laparoscopic Nissen-Rossetti fundoplication by a single surgeon. RESULTS: No conversion to open surgery and no mortality occurred. Major complications occurred in 4 patients (1.1%). Follow-up (median 83 months; range: 1-13 years) was achieved in 96% of the patients. Ninety-two percent of the patients were satisfied with the results of the procedure and would undergo the same operation again. Postoperative dysphagia occurred in 3.5% of the patients, and recurrent heartburn was observed in 3.8%. CONCLUSIONS: Laparoscopic Nissen-Rossetti fundoplication with the routine use of intraoperative manometry and endoscopy achieved good outcomes and long-term patient satisfaction with few complications and side-effects. Appropriate preoperative investigation and a correct surgical technique are important in securing these results.
BACKGROUND: Several different ways of fashioning a total fundoplication lead to different outcomes. This article addresses the technical details of the antireflux technique we adopted without modifications for all patients with GERD beginning in 1972. In particular it aims to discuss the relation between the mechanism of function of the wrap and the physiology of the esophagus. METHODS: The study population consisted of 380 patients affected by GERD with a 1-year minimum of follow-up who underwent laparoscopic Nissen-Rossetti fundoplication by a single surgeon. RESULTS: No conversion to open surgery and no mortality occurred. Major complications occurred in 4 patients (1.1%). Follow-up (median 83 months; range: 1-13 years) was achieved in 96% of the patients. Ninety-two percent of the patients were satisfied with the results of the procedure and would undergo the same operation again. Postoperative dysphagia occurred in 3.5% of the patients, and recurrent heartburn was observed in 3.8%. CONCLUSIONS: Laparoscopic Nissen-Rossetti fundoplication with the routine use of intraoperative manometry and endoscopy achieved good outcomes and long-term patient satisfaction with few complications and side-effects. Appropriate preoperative investigation and a correct surgical technique are important in securing these results.
Authors: John E Pandolfino; Jennifer Curry; Guoxiang Shi; Raymond J Joehl; James G Brasseur; Peter J Kahrilas Journal: Ann Surg Date: 2005-07 Impact factor: 12.969
Authors: Gianluca Rossetti; Luigi Brusciano; Giuseppe Amato; Vincenzo Maffettone; Vincenzo Napolitano; Gianluca Russo; Domenico Izzo; Federica Russo; Francesco Pizza; Gianmattia Del Genio; Alberto Del Genio Journal: Ann Surg Date: 2005-04 Impact factor: 12.969
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: A Del Genio; G Rossetti; V Maffetton; A Renzi; L Brusciano; P Limongelli; D Cuttitta; G Russo; G Del Genio Journal: Surg Endosc Date: 2004-05 Impact factor: 4.584
Authors: Dimitrios Stefanidis; William W Hope; Geoffrey P Kohn; Patrick R Reardon; William S Richardson; Robert D Fanelli Journal: Surg Endosc Date: 2010-08-20 Impact factor: 4.584
Authors: Salvatore Tolone; Gianmattia Del Genio; Giovanni Docimo; Luigi Brusciano; Alberto del Genio; Ludovico Docimo Journal: Updates Surg Date: 2012-08-09
Authors: Gianmattia Del Genio; Federica Del Genio; Pietro Schettino; Paolo Limongelli; Salvatore Tolone; Luigi Brusciano; Manuela Avellino; Chiara Vitiello; Giovanni Docimo; Angelo Pezzullo; Ludovico Docimo Journal: World J Gastrointest Endosc Date: 2015-03-16
Authors: Salvatore Tolone; Paolo Limongelli; Marco Romano; Alessandro Federico; Giovanni Docimo; Roberto Ruggiero; Luigi Brusciano; Gianmattia Del Genio; Ludovico Docimo Journal: Surg Endosc Date: 2014-07-17 Impact factor: 4.584
Authors: Gianmattia del Genio; Salvatore Tolone; Federica del Genio; Gianluca Rossetti; Luigi Brusciano; Francesco Pizza; Landino Fei; Alberto del Genio Journal: Surg Endosc Date: 2008-05-14 Impact factor: 4.584