Introduction
Materials and methods
Subject selection
Quantified variables
2.3 Thal fundoplication procedure
Statistical analyses
Results
Patient demographics and outcomes
All | Open | Lap | Lap → Open | ||
---|---|---|---|---|---|
N | n (%) | 281 (100) | 69 (24.56) | 197 (70.11) | 15 (5.34) |
Male/Female | 173 / 108 | 43 / 26 | 123 / 74 | 7 / 8 | |
Age | years | 16.29 ± 18.06 | 9.99 ± 14.61 | 18.11 ± 18.30 | 21.86 ± 23.43 |
Body weight | kg | 20.98 ± 15.98 | 15.35 ± 12.49 | 22.98 ± 16.82 | 21.24 ± 21.20 |
Height | cm | 111.05 ± 34.47 | 95.73 ± 38.19 | 116.57 ± 35.36 | 110.95 ± 118.20 |
Surgery duration | min | 89.11 ± 43.02 | 59.14 ± 21.87 | 99.68 ± 44.12 | 91.67 ± 75.00 |
Volume of bleeding | g | 11.64 ± 29.18 | 20.33 ± 30.62 | 7.44 ± 26.35 | 26.60 ± 6.00 |
Time to restart feed | PODs | 3.41 ± 1.26 | 3.40 ± 1.64 | 3.42 ± 1.13 | 3.27 ± 3.00 |
Time to full feed | PODs | 6.32 ± 1.42 | 6.37 ± 1.71 | 6.33 ± 1.34 | 6.00 ± 6.00 |
Clavien-Dindo | I | 8 | 3 | 5 | 0 |
II | 19 | 5 | 12 | 2 | |
III | 4 | 0 | 3 | 1 | |
IV | 0 | 0 | 0 | 0 | |
V | 1 | 1 | 0 | 0 | |
Length of hospital stay | days | 10.31 ± 6.00 | 10.28 ± 5.96 | 10.20 ± 5.54 | 11.87 ± 8.00 |
Recurrence | n (%) | 17 (6.00) | 5 (7.24) | 12 (6.10) | 0 (0.00) |
Technical surgical outcomes
Discussion
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No need to surgically interfere with the short gastric artery and vein
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Brief surgery and short operative time
Nissen fundoplication | ||||||
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References | Knatten et al. [18] | McHoney et al. [19] | Papandria et al. [20] | |||
Open versus Lap | Open | Lap | Open | Lap | Open | Lap |
N | 44 | 44 | 20 | 19 | 21 | 18 |
Surgery duration (min) | 89 ± 25 | 150 ± 34 | 80 ± 5 | 160 ± 15 | 89.25 ± 6.25 | 167 ± 10.5 |
Length of hospital stay (days) | 7.5 | 7 | 4.5 | 5 | 4.75 | 4.75 |
Time to full feed (PODs) | – | – | 2 | 2 | – | – |
Recurrence (%) | 7 | 37 | 12 | 20 | 4.8 | 5.6 |