Document Detail


Comparison of laparoscopic versus open repair of paraesophageal hernia.
MedLine Citation:
PMID:  9926809     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Recent reports suggest that laparoscopic paraesophageal hernia repair (LPHR) is feasible, but no direct comparisons with the standard open paraesophageal hernia repair (OPHR) have been reported. The purpose of this study was to compare the short-term outcome of LPHR versus OPHR at a single institution. METHODS: The operative and postoperative courses of 95 consecutive patients undergoing open or laparoscopic repair of a paraesophageal hernia (PEH) were retrospectively reviewed, and outcomes of LPHR versus OPHR were compared. RESULTS: PEH was associated with advanced age and significant comorbidity. Although the operative time was increased for LPHR, there was a significant reduction in blood loss, intensive care unit stay, ileus, hospital stay, and overall morbidity associated with LPHR compared with OPHR. CONCLUSIONS: PEH is associated with significant comorbidity that increases the operative risk. Short-term outcomes for LPHR are superior to OPHR, suggesting that the laparoscopic approach is the preferred approach to paraesophageal hernia repair.
Authors:
P R Schauer; S Ikramuddin; R H McLaughlin; T O Graham; A Slivka; K K Lee; W H Schraut; J D Luketich
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  176     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-02-11     Completed Date:  1999-02-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  659-65     Citation Subset:  AIM; IM    
Affiliation:
University of Pittsburgh, Presbyterian University Hospital, Pennsylvania 15213-2582, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Female
Hernia, Hiatal / surgery*
Humans
Laparoscopy / methods*,  standards
Length of Stay
Male
Middle Aged
Postoperative Complications
Retrospective Studies
Risk Factors
Surgical Procedures, Operative / methods*,  standards
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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