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A Journal on Surgery

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Minerva Chirurgica 2006 August;61(4):299-306

language: Italian

Mid and lon term results in the laparoscopic surgical treatment of gastroesophageal reflux

Rebecchi F., Giaccone C., Farinella E., Laganga V., Pellegrino L., Morino M.

Dipartimento di Discipline Medico Chirurgiche, Centro Universitario di Chirurgia Mini-invasiva -Università degli Studi di Torino


Aim. The advent of laparoscopic surgery produced a new interest in the surgical treatment of many benignant and functional gastrointestinal diseases; one of the most commonly trated is the gastroesophageal reflux disease (GERD). In this paper the Authors report their 15 years experience in the laparoscopic surgical management of GERD.
Methods. From October 1991 to June 2005, 581 patients with GERD were treated by a laparoscopic fundoplication with a 360° wrap (524 cases) or with a 270° wrap (29 cases) or with a Collis gastroplasty (28 cases).
Results. The absence of intraoperative mortality, a low conversion to open surgery (0.7%) and a low postoperative morbidity (2.4%) with good clinical and instrumental long term results let the Authors to think that GERD represent an ideal indication for laparoscopic surgery.
Conclusions. Good results are possible in the laparoscopic management of GERD with a precise selection of patients and with a good open and laparoscopic surgical experience in the management of functional esophageal diseases.

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