Tr. Huntington, SHORT-TERM OUTCOME OF LAPAROSCOPIC PARAESOPHAGEAL HERNIA REPAIR - A CASE SERIES OF 58 CONSECUTIVE PATIENTS, Surgical endoscopy, 11(9), 1997, pp. 894-898
Background: The purpose of this study is to determine the morbidity, m
ortality, and short-term outcomes associated with laparoscopic paraeso
phageal hernia repair (LPHR). Methods: A series of 58 consecutive LPHR
s 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 LP
HR were reviewed. Results: There were no procedure-related or perioper
ative deaths in this series of patients undergoing LPHR. Four major co
mplications occurred (7%), two of which required reoperation, all in u
rgently repaired patients, One patient required conversion to laparoto
my (1.7%), Based on symptoms, there were no reherniations. No patients
had long-term dysphagia worse than preoperatively. Preoperative sympt
oms of chest pain, esophageal obstruction, hemorrhage, and reflux were
resolved in all patients. Conclusions: LPHR is safe, effective, and c
ompares favorably to historical series of open paraesophageal hernia r
epair.