Abstract
Laparoscopic antireflux surgery (LARS) is considered the gold standard for the surgical management of severe gastroesophageal reflux disease. While underutilized for fear of occasional long-term side effects, it remains a safe operation with a very low complication rate. The prevention of acute and chronic complications begins with appropriate patient selection, surgical plan, and surgeon experience. Additionally, there are several potential error traps that are encountered during LARS that can contribute to acute intraoperative or early postoperative complications. This chapter will serve as a step-by-step review of the acute complications that can occur in the perioperative period of LARS.
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References
Stefanidis D, Hope WW, Kohn GP, Reardon PR, Richardson WS, Fanelli RD, et al. Guidelines for surgical treatment of gastroesophageal reflux disease. Surg Endosc. 2010;24(11):2647–69.
Niebisch S, Fleming FJ, Galey KM, Wilshire CL, Jones CE, Litle VR, et al. Perioperative risk of laparoscopic fundoplication: safer than previously reported-analysis of the American College of Surgeons National Surgical Quality Improvement Program 2005 to 2009. J Am Coll Surg. 2012;215(1):61–8; discussion 68–9.
Telem DA, Altieri M, Gracia G, Pryor AD. Perioperative outcome of esophageal fundoplication for gastroesophageal reflux disease in obese and morbidly obese patients. Am J Surg. 2014;208(2):163–8.
Tatarian T, Pucci MJ, Palazzo F. A modern approach to the surgical treatment of gastroesophageal reflux disease. J Laparoendosc Adv Surg Tech A. 2016;26(3):174–9.
Jobe BA, Richter JE, Hoppo T, Peters JH, Bell R, Dengler WC, et al. Preoperative diagnostic workup before antireflux surgery: an evidence and experience-based consensus of the Esophageal Diagnostic Advisory Panel. J Am Coll Surg. 2013;217(4):586–97.
Broeders JA, Draaisma WA, Rijnhart-de Jong HG, Smout AJ, van Lanschot JJ, Broeders IA, et al. Impact of surgeon experience on 5-year outcome of laparoscopic Nissen fundoplication. Arch Surg. 2011;146(3):340–6.
Klingler PJ, Seelig MH, Floch NR, Branton SA, Freund MC, Katada N, et al. Aberrant left hepatic artery in laparoscopic antireflux procedures. Surg Endosc. 2004;18(5):807–11.
Nehoda H, Lanthaler M, Labeck B, Weiss H, Hourmont K, Klingler PJ, et al. Aberrant left hepatic artery in laparoscopic gastric banding. Obes Surg. 2000;10(6):564–8.
Covey AM, Brody LA, Maluccio MA, Getrajdman GI, Brown KT. Variant hepatic arterial anatomy revisited: digital subtraction angiography performed in 600 patients. Radiology. 2002;224(2):542–7.
van Rijn S, Rinsma NF, van Herwaarden-Lindeboom MY, Ringers J, Gooszen HG, van Rijn PJ, et al. Effect of vagus nerve integrity on short and long-term efficacy of antireflux surgery. Am J Gastroenterol. 2016;111(4):508–15.
Richter JE. Gastroesophageal reflux disease treatment: side effects and complications of fundoplication. Clin Gastroenterol Hepatol. 2013;11(5):465–71; quiz e39.
Oelschlager BK, Yamamoto K, Woltman T, Pellegrini C. Vagotomy during hiatal hernia repair: a benign esophageal lengthening procedure. J Gastrointest Surg. 2008;12(7):1155–62.
Yang H, Watson DI, Lally CJ, Devitt PG, Game PA, Jamieson GG. Randomized trial of division versus nondivision of the short gastric vessels during laparoscopic Nissen fundoplication: 10-year outcomes. Ann Surg. 2008;247(1):38–42.
Khatri K, Sajid MS, Brodrick R, Baig MK, Sayegh M, Singh KK. Laparoscopic Nissen fundoplication with or without short gastric vessel division: a meta-analysis. Surg Endosc. 2012;26(4):970–8.
Flum DR, Koepsell T, Heagerty P, Pellegrini CA. The nationwide frequency of major adverse outcomes in antireflux surgery and the role of surgeon experience, 1992-1997. J Am Coll Surg. 2002;195(5):611–8.
Pohl D, Eubanks TR, Omelanczuk PE, Pellegrini CA. Management and outcome of complications after laparoscopic antireflux operations. Arch Surg. 2001;136(4):399–404.
Schauer PR, Meyers WC, Eubanks S, Norem RF, Franklin M, Pappas TN. Mechanisms of gastric and esophageal perforations during laparoscopic Nissen fundoplication. Ann Surg. 1996;223(1):43–52.
Cano-Valderrama O, Marinero A, Sanchez-Pernaute A, Dominguez-Serrano I, Perez-Aguirre E, Torres AJ. Aortic injury during laparoscopic esophageal hiatoplasty. Surg Endosc. 2013;27(8):3000–2.
Reardon PR, Scarborough T, Matthews B, Preciado A, Marti JL, Brunicardi FC. Laparoscopic Nissen fundoplication: a technique for the easy and precise manufacture of a true fundoplication. Surg Endosc. 2000;14(3):298–9.
Davis RE, Awad ZT, Filipi CJ. Technical factors in the creation of a “floppy” Nissen fundoplication. Am J Surg. 2004;187(6):724–7.
Bochkarev V, Iqbal A, Lee YK, Vitamvas M, Oleynikov D. One hundred consecutive laparoscopic Nissen’s without the use of a bougie. Am J Surg. 2007;194(6):866–70; discussion 870–1.
Soper NJ, Dunnegan D. Anatomic fundoplication failure after laparoscopic antireflux surgery. Ann Surg 1999;229(5):669–76; discussion 676–7.
Hunter JG, Smith CD, Branum GD, Waring JP, Trus TL, Cornwell M, et al. Laparoscopic fundoplication failures: patterns of failure and response to fundoplication revision. Ann Surg. 1999;230(4):595–604; discussion 604–6.
Lipham JC, Taiganides PA, Louie BE, Ganz RA, DeMeester TR. Safety analysis of first 1000 patients treated with magnetic sphincter augmentation for gastroesophageal reflux disease. Dis Esophagus. 2015;28(4):305–11.
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Tatarian, T., Pucci, M.J., Palazzo, F. (2017). Acute Complications of Antireflux Surgery. In: Fisichella, P. (eds) Failed Anti-Reflux Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-46885-3_6
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DOI: https://doi.org/10.1007/978-3-319-46885-3_6
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