T R Huntington1. 1. Department of Surgery, St. Luke's Regional Medical Center Department of Surgery, Boise Veteran's Affairs Medical Center, 222 N. 2nd Street, Suite 107, Boise, ID 83702, USA.
Abstract
BACKGROUND: The purpose of this study is to determine the morbidity, mortality, and short-term outcomes associated with laparoscopic paraesophageal hernia repair (LPHR). METHODS: A series of 58 consecutive LPHRs performed by the author were reviewed with an average 1-year follow-up. Morbidity and mortality rates were compared with historical series of open repairs. Anatomy and technical considerations pertinent to LPHR were reviewed. RESULTS: There were no procedure-related or perioperative deaths in this series of patients undergoing LPHR. Four major complications occurred (7%), two of which required reoperation, all in urgently repaired patients. One patient required conversion to laparotomy (1. 7%). Based on symptoms, there were no reherniations. No patients had long-term dysphagia worse than preoperatively. Preoperative symptoms of chest pain, esophageal obstruction, hemorrhage, and reflux were resolved in all patients. CONCLUSIONS: LPHR is safe, effective, and compares favorably to historical series of open paraesophageal hernia repair.
BACKGROUND: The purpose of this study is to determine the morbidity, mortality, and short-term outcomes associated with laparoscopic paraesophageal hernia repair (LPHR). METHODS: A series of 58 consecutive LPHRs performed by the author were reviewed with an average 1-year follow-up. Morbidity and mortality rates were compared with historical series of open repairs. Anatomy and technical considerations pertinent to LPHR were reviewed. RESULTS: There were no procedure-related or perioperative deaths in this series of patients undergoing LPHR. Four major complications occurred (7%), two of which required reoperation, all in urgently repaired patients. One patient required conversion to laparotomy (1. 7%). Based on symptoms, there were no reherniations. No patients had long-term dysphagia worse than preoperatively. Preoperative symptoms of chest pain, esophageal obstruction, hemorrhage, and reflux were resolved in all patients. CONCLUSIONS: LPHR is safe, effective, and compares favorably to historical series of open paraesophageal hernia repair.
Authors: J M Johnson; A M Carbonell; B J Carmody; M K Jamal; J W Maher; J M Kellum; E J DeMaria Journal: Surg Endosc Date: 2006-01-25 Impact factor: 4.584
Authors: Jörg Zehetner; John C Lipham; Shahin Ayazi; Arzu Oezcelik; Emmanuele Abate; Weisheng Chen; Steven R Demeester; Helen J Sohn; Farzaneh Banki; Jeffrey A Hagen; Melissa Dickey; Tom R Demeester Journal: Surg Endosc Date: 2009-08-19 Impact factor: 4.584