BACKGROUND: Laparoscopic antireflux surgery is an accepted treatment for persistent gastroesophageal reflux but about 4% of patients will eventually require revision surgery. METHODS: We searched The Cochrane Collaboration, Medline, and EMBASE databases, augmented by Google Scholar and PubMed related articles from January 1, 1990, to November 22, 2010. Twenty studies met the inclusion criteria, reporting on 930 surgeries. RESULTS: The mean surgical duration was 166 minutes and conversion to open revision fundoplication was required in 7% of cases. Complications were reported in 14% of cases and the mean length of stay varied between 1.2 and 6 days. A good to excellent result was reported for 84% of surgeries and 5% of patients required a further revisional procedure. CONCLUSIONS: Laparoscopic revision antireflux surgery appears to be feasible and safe, but subject to somewhat greater risk of conversion, higher morbidity, longer hospital stay, and poorer outcomes than primary laparoscopic fundoplication.
BACKGROUND: Laparoscopic antireflux surgery is an accepted treatment for persistent gastroesophageal reflux but about 4% of patients will eventually require revision surgery. METHODS: We searched The Cochrane Collaboration, Medline, and EMBASE databases, augmented by Google Scholar and PubMed related articles from January 1, 1990, to November 22, 2010. Twenty studies met the inclusion criteria, reporting on 930 surgeries. RESULTS: The mean surgical duration was 166 minutes and conversion to open revision fundoplication was required in 7% of cases. Complications were reported in 14% of cases and the mean length of stay varied between 1.2 and 6 days. A good to excellent result was reported for 84% of surgeries and 5% of patients required a further revisional procedure. CONCLUSIONS: Laparoscopic revision antireflux surgery appears to be feasible and safe, but subject to somewhat greater risk of conversion, higher morbidity, longer hospital stay, and poorer outcomes than primary laparoscopic fundoplication.
Authors: Joshua P Landreneau; Andrew T Strong; Matthew D Kroh; John H Rodriguez; Kevin El-Hayek Journal: Surg Endosc Date: 2019-07-25 Impact factor: 4.584
Authors: Andreas M Schneider; Ralph W Aye; Candice L Wilshire; Alexander S Farivar; Brian E Louie Journal: J Gastrointest Surg Date: 2016-11-03 Impact factor: 3.452
Authors: Alex J Addo; Ayobami M Fatunmbi; Sanjhai L Ramdeen; Andrew Broda; Vladan Obradovic; Anthony T Petrick; David M Parker Journal: Surg Endosc Date: 2022-10-03 Impact factor: 3.453
Authors: Frank Zerbib; Daniel Sifrim; Radu Tutuian; Stephen Attwood; Lars Lundell Journal: United European Gastroenterol J Date: 2013-02 Impact factor: 4.623
Authors: Greta Saino; Luigi Bonavina; John C Lipham; Daniel Dunn; Robert A Ganz Journal: J Laparoendosc Adv Surg Tech A Date: 2015-10-05 Impact factor: 1.878