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Thoracoscopic Belsey fundoplication with 5-year outcomes

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Abstract

Background: To determine the indications for a minimally invasive thoracic technique in gastroesophageal reflux disease (GERD), we conducted a retrospective review of outcomes with our first 21 thoracoscopic Belsey fundoplications. Methods: A thoracoscopic Belsey fundoplication was completed in 21 patients (12 males, 9 female; ages, 38–83 years). Preoperative evaluation revealed 13 primary motility disorders, 9 strictures, and 3 epiphrenic diverticuli. Six patients had previous gastric surgery. Sixteen patients underwent 20 ancillary procedures (esophagomyotomy, 14; excision of diverticulum, 2; lung volume reduction, 2; prosthetic diaphragmatic repair, 1; and Thal–Woodward esophagoplasty, 1). Results: Mean follow-up was 75.6 months (range, 67–85 months). There was one operative death (4.8%). Early morbidity included two esophageal leaks (9.8%). Late morbidity included three patients (15.7%) with persistent dysphagia and five patients (26%) with recurrent GERD. Conclusion: Thoracoscopic Belsey fundoplication was associated with a high morbidity and recurrence rate in our long-term experience.

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  1. Department of Surgery, Emory-Dunwoody Medical Center, 4575 North Shallowford Road, Atlanta, GA 30038, USA

    J. K. Champion

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  1. J. K. Champion
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Correspondence to J. K. Champion.

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Champion, J. Thoracoscopic Belsey fundoplication with 5-year outcomes . Surg Endosc 17, 1212–1215 (2003). https://doi.org/10.1007/s00464-002-8564-9

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  • DOI: https://doi.org/10.1007/s00464-002-8564-9

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