Effect of the learning phase on safety and efficiency of laparoscopic fundoplication

The introduction of laparoscopic techniques into surgical practice has required a learning process on the part of the surgeons involved. The duration, morbidity, and functional outcome of laparoscopic fundoplication were evaluated in our institution's first 146 cases. During a 34-month period t...

Full description

Saved in:
Bibliographic Details
Published in:Chirurg 2001-03, Vol.72 (3), p.261-265
Main Authors: Remzi, M, Lenglinger, J, Erne, B, Bagmet, N, Függer, R, Bischof, G, Wrba, F, Jakesz, R, Miholic, J
Format: Article
Language:ger
Subjects:
Adult
Aged
Aged, 80 and over
Clinical Competence
Education, Medical, Continuing
Female
Fundoplication
General Surgery - education
Hernia, Hiatal - surgery
Humans
Inservice Training
Laparoscopy
Male
Middle Aged
Postoperative Complications - etiology
Prospective Studies
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The introduction of laparoscopic techniques into surgical practice has required a learning process on the part of the surgeons involved. The duration, morbidity, and functional outcome of laparoscopic fundoplication were evaluated in our institution's first 146 cases. During a 34-month period the patients underwent laparoscopic Nissen (n = 102) or Toupet (n = 44) fundoplication. Conversion to open access was necessary in 7 cases, re-operation for complications in 2, all among the first 40 cases of the series. The median operating time was 165 min (range 75-375) in the first 40 cases, and 105 min (range 50-235) thereafter (P < 0.001). Body mass index, grade of esophagitis, and the surgeon's experience were independent predictors of the operating time. One hundred and thirty-four patients (92%) could be evaluated for recurrence of reflux, which was encountered in 2 (5%) of the first 40 cases and 8 (8%) of 94 patients in the later group.
ISSN:0009-4722