Abstract
Although antireflux surgery offers very good results and patient's satisfaction, the referral rate to the surgeon remains very low. We present our experience with a less-invasive procedure that would result in minimal pain and very rapid return to normal activities and thus might lead to earlier referral. Fifty-nine patients with documented reflux esophagitis were treated. There were 31 females and 28 males whose age ranged from 27 to 69 years and whose weight varied between 140 and 280 lbs. Pre-op work-up included endoscopy, barium swallow, manometry, and 24-h pH studies. There was no mortality and morbidity was minimal; hospital stay was 2–3 days. Ten patients were lost to follow-up; all the remaining patients are completely asymptomatic, and the patients who had their pre-op work-up repeated showed normal results. Laparoscopic fundoplication seems to be as efficient and safe as the open procedure.
Similar content being viewed by others
References
Bjerkeset J, Edno TH, Fjosne U (1992) Long term results after “floppy” Nissen-Rossetti fundoplication for gastro esophageal reflux disease. Scand J Gastroenterol 27: 707–709
DeMeester TR, Wang CI, Wemly JA, et al. (1980) Technique indications and clinical use of 24 hour esophageal pH monitoring. J Thorac Cardiovasc Surg 79: 656–670
DeMeester TR, Bonavina L, Albertuci M (1986) Nissen fundoplication for gastroesophageal reflux disease. Evaluation of primary repair in 100 consecutive patients. Ann Surg 204: 9–20
Donahue PE, Samelson S, Nyhus LM, Bombeck CT (1985) The floppy Nissen fundoplication. Arch Surg 120: 663–668
Donahue PE, Bombeck CT (1977) The modified Nissen fundoplication-reflux prevention without gas blot. Chir Gastroenterol 11: 15
Dubois F, Icard P, Berthelot G, Levard H (1990) Coelioscopic cholecystectomy: preliminary report of 36 cases. Ann Surg 211: 60–62
Ellis FH (1983) The Nissen fundoplication in Gibbon's surgery of the chest. Saunders, p 792
Geagea T (1991) Laparoscopic Nissen's fundoplication is feasible. Can J Surg 34: 313
Geagea T (1991) Laparoscopic Nissen's fundoplication: preliminary report on ten cases. Surg Endosc 5: 170–173
Johnsson F, Joelsson B (1987) Effects of fundoplication on the anti-reflux mechanism. Br J Surg 74: 111–114
Liebermann-Meffert D, Algower M, Schmid P, Blum AL (1979) Muscular equivalent of the lower esophageal sphincter. Gastroenterology 76: 31–38
Lind JF, Duthie HC, Schlegel JF (1961) Motility of the gastric fundus. Am J Physiol 201: 197–202
Lundell L, Abrahamson H, Ruth M, Sandberg N, Olhe L (1991) Lower esophageal sphincter characteristics and esophageal acid exposure following partial or 360 degree fundoplication: result of a prospective randomized clinical study. World J Surg 15: 115–121
Nissen R, Rossetti M, Stewart R (1981) Fundoplication und Gastropexie bei Refluxkrankheit und Hiatushernien. Thieme, New York
Pier A, Gotz F, Bacher C (1991) Laparoscopic appendectomy in 625 cases: from innovative to routine. Surg Laparosc Endosc 1: 8–13
Polk HC (1978) Indications for technique of and results of fundoplication for complicated reflux esophagitis. Am Surg 44:620
Polk HC (1976) Fundoplication for reflux esophagitis. Misadventures with the operation of choice. Ann Surg 183: 645–652
Polk HC (1984) Operations for reflux esophagitis. In: Najarian JS, Delaney JP (ed) Advances in Gastro-intestinal surgery. Year Book Medical Publishers, Chicago, pp 57–64
Reddick EJ, Olsen DO (1989) Laparoscopic laser cholecystectomy. Surg Endosc 3: 131–133
Rossetti M, Hell H (1977) Fundoplication for the treatment of gastro esophageal reflux in hiatal hernia. World J Surg 1: 439–444
Saye WB, Rives DA, Cochrane EG (1991) Laparoscopic appendectomy: Three years experience. Surg Laparosc Endosc 1: 109–115
Siewert R, Koch A, Katsch H, et al. (1975) The mechanism of action of fundoplication (abstract). Bull Soc Int Chir 34: 284
Siewert R, Jennewein H, Waldeck F, et al. (1973) Experimentelle und klinische untursuchungen zum wirkungs-mechanisums der fundoplication. Langenbecks Arch Chir 333: 519
Spaw AT, Reddick EJ, Olsen DO (1991) Laparoscopic laser cholecystectomy: analysis of 500 procedures. Surg Laparosc Endosc 1: 2–7
Spencer Payne W, Trostek VF, Pairolero PC (1987) Reflux esophagitis. Surg Clin North Am 67: 443–454
Spencer Payne W, Leonardi HK, Ellis FH (1981) Complication of esophageal surgery. In: Hardy JD (ed) Complications in surgery and their management. Saunders, Philadelphia, p 359
Wald H, Polk HC (1983) Anatomical variations in hiatal and upper gastric areas and their relationship to difficulties experienced in operations for reflux esophagitis. Ann Surg 197: 389–392
Siewert JR, Isolauri J, Feussner H (1989) Reoperation following failed fundoplication. World J Surg 13: 791–797
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Geagea, T. Laparoscopic Nissen-Rossetti fundoplication. Surg Endosc 8, 1080–1084 (1994). https://doi.org/10.1007/BF00705724
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00705724