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Short-term outcome of laparoscopic paraesophageal hernia repair

A case series of 58 consecutive patients

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Abstract

Background: The purpose of this study is to determine the morbidity, mortality, and short-term outcomes associated with laparoscopic paraesophageal hernia repair (LPHR).

Methods: A series of 58 consecutive LPHRs 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 LPHR were reviewed.

Results: There were no procedure-related or perioperative deaths in this series of patients undergoing LPHR. Four major complications occurred (7%), two of which required reoperation, all in urgently repaired patients. One patient required conversion to laparotomy (1.7%). Based on symptoms, there were no reherniations. No patients had long-term dysphagia worse than preoperatively. Preoperative symptoms of chest pain, esophageal obstruction, hemorrhage, and reflux were resolved in all patients.

Conclusions: LPHR is safe, effective, and compares favorably to historical series of open paraesophageal hernia repair.

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Received: 24 July 1996/Accepted: 20 November 1996

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Huntington, T. Short-term outcome of laparoscopic paraesophageal hernia repair . Surg Endosc 11, 894–898 (1997). https://doi.org/10.1007/s004649900481

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  • DOI: https://doi.org/10.1007/s004649900481

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