Abstract
From January 1992 to July 1994, 148 patients with symptomatic gastroesophageal reflux and/or hiatal hernia underwent Nissen-Rossetti fundoplication by a laparoscopic approach. There was no conversion and no postoperative death. The main intraoperative complications were hemorrhage (n=12), pleural opening (n=5), and gastric perforation (seromuscular effraction) (n=1). Laparoscopic reoperation was necessary in two patients as a result of bleeding, and there were two cases of food impaction. The median hospital stay was 4.9 days; 117 patients were observed for follow-up for 3–31 months (median 6.2 months). Eleven cases of dysphagia extending beyond 2 months have been observed. In five of those cases, endoscopic dilatation provided effective treatment of dysphagia and in four others, a further laparoscopic intervention enabled a cure to be obtained. Eighty-four percent are satisfied with their decision to have the operation. The laparoscopic Nissen-Rossetti fundoplication can be carried out safely and effectively with positive results similar to those obtained with the open procedure and with all of the advantages of the minimally invasive approach.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Armstrong D, Monnier P, Nicolet M, Blum AL, Savary M (1991) Endoscopic assessment of esophagitis. Gullet 1: 63–67
Bagnato V (1992) Laparoscopic Nissen fundoplication. Surg Laparosc Endosc 2: 188–190
Boulez J, Ducerf C, Chabal J (1987) Résultats de la fundoplicature de Nissen pour reflux gastro-oesophagien. Etude d'une série de 142 cas. Lyon Chir 83: 87–90.
Boutelier Ph, Chipponi J (1989) Le traitement chirurgical du reflux gastro-oesopha gien de l'adulte. Masson, Paris pp 124–139
Cadière JB (1994) Laparoscopic Nissen fundoplication. Br J Surg 81: 400–403
Collet D, Cadière JB (1994) Conversions and complications of laparoscopic treatment of gastroesophageal reflux. A survey from the foundation for the development of laparoscopic surgery (F.D.C.L.) Surg Endosc 8: 638 (Abstr)
Cuschieri A (1993) Laparoscopic antireflux surgery and report of hiatal hernias. World J Surg 16: 40–45
Cuschieri A, Hunter J, Wolfe B, Swanstrom LL, Hutson W (1993) Multicentric prospective evaluation of laparoscopic antireflux surgery. Surg Endosc 7: 505–510
Cuschieri A, Shimi S, Nathanson LK (1992) Laparoscopic reduction, crural repair and fundoplication of large hiatal hernia. Am J Surg 163: 425–430
Dallemagne B, Weerts JM, Jehas C, Markiewicz S, Lombard R (1991) Laparoscopic Nissen fundoplication. Preliminary report. Surg Laparos Endosc 1: 138–143
Geagea T (1994) Laparoscopic Nissen-Rossetti fundoplication. Surg Endosc 8: 1080–1084
Hinder R, Filipi C, Wetscher G, Neary P, De Meester TR, Perdikis G (1994) Laparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux disease. Ann Surg 220(4): 472–483
Jamieson G, Watson D, Britten-Jones R, Mitchell P, Anvari M (1994) Laparoscopic Nissen fundoplication. Ann Surg 220;2: 137–145
Weerts JM, Dallemagne B, Hamoir E, Demarch M, Markiewicz S, Jehaes C, Lombard R, Demoulin JC, Etienne M, Ferron PE, Fontaine F, Gillard V, Delforge M. (1993) Laparoscopic Nissen fundoplication. Detailed analysis of 132 patients. Surg Laparosc Endosc 3: 359–364
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fontaumard, E., Espalieu, P. & Boulez, J. Laparoscopic Nissen-Rossetti fundoplication. Surg Endosc 9, 869–873 (1995). https://doi.org/10.1007/BF00768880
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00768880