Comparison of laparoscopic Nissen and Toupet fundoplication using a propensity score matching analysis

Purpose Laparoscopic fundoplication (LF) has become a standard operative procedure for GERD-related diseases in Japan, although meta-analyses have mainly evaluated findings from Western countries. The propensity score matching method was used to compare and investigate the treatment outcomes of two...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2017-10, Vol.47 (10), p.1195-1200
Main Authors: Hoshino, Masato, Omura, Nobuo, Yano, Fumiaki, Tsuboi, Kazuto, Yamamoto, Se Ryung, Akimoto, Shunsuke, Mitsumori, Norio, Kashiwagi, Hideyuki, Yanaga, Katsuhiko
Format: Article
Language:English
Subjects:
Adult
Deglutition Disorders - epidemiology
Female
Fundoplication - methods
Gastroesophageal Reflux - surgery
Humans
Laparoscopy - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Postoperative Complications - epidemiology
Propensity Score
Recurrence
Surgery
Surgical Oncology
Treatment Outcome
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Summary:Purpose Laparoscopic fundoplication (LF) has become a standard operative procedure for GERD-related diseases in Japan, although meta-analyses have mainly evaluated findings from Western countries. The propensity score matching method was used to compare and investigate the treatment outcomes of two fundoplication procedures (the Nissen and Toupet methods). Methods Among 474 patients who underwent initial LF from December 1994 to April 2016, we extracted 401 cases (Nissen: 92 cases, Toupet: 309 cases), excluding 73 patients in whom follow-up was insufficient. We then matched 126 of these patients (63 per group). Results The esophageal acid reflux time (%) was 12.2:2.8, being higher in the Nissen group than in the Toupet group ( p  
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-017-1490-1