Should laparoscopic paraesophageal hernia repair be abandoned in favor of the open approach?
The most appropriate approach to the repair of large paraesophageal hernias remains controversial. Despite early results of excellent outcomes after laparoscopic repair, recent reports of high recurrence require that this approach be reevaluated. For this study, 60 primary paraesophageal hernias con...
Gespeichert in:
| Veröffentlicht in: | Surgical endoscopy 2005, Vol.19 (1), p.4-8 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 8 |
|---|---|
| container_issue | 1 |
| container_start_page | 4 |
| container_title | Surgical endoscopy |
| container_volume | 19 |
| creator | FERRI, L. E FELDMAN, L. S STANBRIDGE, D MAYRAND, S STEIN, L FRIED, G. M |
| description | The most appropriate approach to the repair of large paraesophageal hernias remains controversial. Despite early results of excellent outcomes after laparoscopic repair, recent reports of high recurrence require that this approach be reevaluated.
For this study, 60 primary paraesophageal hernias consecutively repaired at one institution from 1990 to 2002 were reviewed. These 25 open transabdominal and 35 laparoscopic repairs were compared for operative, short-, and long-term outcomes on the basis of quality-of -life questionnaires and radiographs.
No difference in patient characteristics was detected. Laparoscopic repair resulted in lower blood loss, fewer intraoperative complications, and a shorter length of hospital stay. No difference in general or disease-specific quality-of-life was documented. Radiographic follow-up was available for 78% open and 91% laparoscopic repairs, showing anatomic recurrence rates of 44% and 23%, respectively (p = 0.11).
Laparoscopic repair should remain in the forefront for the management of paraesophageal hernias. However, there is considerable room for improvement in reducing the incidence of recurrence. |
| doi_str_mv | 10.1007/s00464-004-8903-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67525240</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67525240</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-df371abaad960088be77abdf3fa0616e57a7b37ac88a461fb975edc1d02029ca3</originalsourceid><addsrcrecordid>eNpdkMFq3DAQhkVpaLZpH6CXIArtzelIsiTrFEpom0Agh7S3ghjL49jBaznSOtC3r5ZdCOSgkRi--Ud8jH0ScCEA7LcMUJu6KrVqHKgK3rCNqJWspBTNW7YBp6CS1tWn7H3Oj1BAJ_Q7diq0VsKZZsP-3g9xnTo-4YIp5hCXMfDyRMpxGfCBcOIDpXlEnmjBMfGWOLY4d3Gmjo8z7_E5Jh57vhuIx4VmjsuSIobh8gM76XHK9PF4n7E_P3_8vrqubu9-3Vx9v62C0mZXdb2yomRi5wxA07RkLbal2yMYYUhbtK2yGJoGayP61llNXRAdSJAuoDpjXw-5Ze_TSnnnt2MONE04U1yzN1ZLLWso4OdX4GNc01z-5qVwtbGmbgokDlAoQnKi3i9p3GL65wX4vXd_8O5L9Xvvfh98fgxe2y11LxNH0QX4cgQwB5z6hHMY8wtntC4H1H-eg4s_</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>219467648</pqid></control><display><type>article</type><title>Should laparoscopic paraesophageal hernia repair be abandoned in favor of the open approach?</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>FERRI, L. E ; FELDMAN, L. S ; STANBRIDGE, D ; MAYRAND, S ; STEIN, L ; FRIED, G. M</creator><creatorcontrib>FERRI, L. E ; FELDMAN, L. S ; STANBRIDGE, D ; MAYRAND, S ; STEIN, L ; FRIED, G. M</creatorcontrib><description>The most appropriate approach to the repair of large paraesophageal hernias remains controversial. Despite early results of excellent outcomes after laparoscopic repair, recent reports of high recurrence require that this approach be reevaluated.
For this study, 60 primary paraesophageal hernias consecutively repaired at one institution from 1990 to 2002 were reviewed. These 25 open transabdominal and 35 laparoscopic repairs were compared for operative, short-, and long-term outcomes on the basis of quality-of -life questionnaires and radiographs.
No difference in patient characteristics was detected. Laparoscopic repair resulted in lower blood loss, fewer intraoperative complications, and a shorter length of hospital stay. No difference in general or disease-specific quality-of-life was documented. Radiographic follow-up was available for 78% open and 91% laparoscopic repairs, showing anatomic recurrence rates of 44% and 23%, respectively (p = 0.11).
Laparoscopic repair should remain in the forefront for the management of paraesophageal hernias. However, there is considerable room for improvement in reducing the incidence of recurrence.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-004-8903-0</identifier><identifier>PMID: 15531968</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Digestive System Surgical Procedures - methods ; Digestive system. Abdomen ; Endoscopy ; Female ; Hernia, Hiatal - surgery ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; Male ; Medical sciences ; Middle Aged ; Prospective Studies</subject><ispartof>Surgical endoscopy, 2005, Vol.19 (1), p.4-8</ispartof><rights>2005 INIST-CNRS</rights><rights>Springer-Verlag 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-df371abaad960088be77abdf3fa0616e57a7b37ac88a461fb975edc1d02029ca3</citedby><cites>FETCH-LOGICAL-c356t-df371abaad960088be77abdf3fa0616e57a7b37ac88a461fb975edc1d02029ca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16551650$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15531968$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FERRI, L. E</creatorcontrib><creatorcontrib>FELDMAN, L. S</creatorcontrib><creatorcontrib>STANBRIDGE, D</creatorcontrib><creatorcontrib>MAYRAND, S</creatorcontrib><creatorcontrib>STEIN, L</creatorcontrib><creatorcontrib>FRIED, G. M</creatorcontrib><title>Should laparoscopic paraesophageal hernia repair be abandoned in favor of the open approach?</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>The most appropriate approach to the repair of large paraesophageal hernias remains controversial. Despite early results of excellent outcomes after laparoscopic repair, recent reports of high recurrence require that this approach be reevaluated.
For this study, 60 primary paraesophageal hernias consecutively repaired at one institution from 1990 to 2002 were reviewed. These 25 open transabdominal and 35 laparoscopic repairs were compared for operative, short-, and long-term outcomes on the basis of quality-of -life questionnaires and radiographs.
No difference in patient characteristics was detected. Laparoscopic repair resulted in lower blood loss, fewer intraoperative complications, and a shorter length of hospital stay. No difference in general or disease-specific quality-of-life was documented. Radiographic follow-up was available for 78% open and 91% laparoscopic repairs, showing anatomic recurrence rates of 44% and 23%, respectively (p = 0.11).
Laparoscopic repair should remain in the forefront for the management of paraesophageal hernias. However, there is considerable room for improvement in reducing the incidence of recurrence.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Hernia, Hiatal - surgery</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkMFq3DAQhkVpaLZpH6CXIArtzelIsiTrFEpom0Agh7S3ghjL49jBaznSOtC3r5ZdCOSgkRi--Ud8jH0ScCEA7LcMUJu6KrVqHKgK3rCNqJWspBTNW7YBp6CS1tWn7H3Oj1BAJ_Q7diq0VsKZZsP-3g9xnTo-4YIp5hCXMfDyRMpxGfCBcOIDpXlEnmjBMfGWOLY4d3Gmjo8z7_E5Jh57vhuIx4VmjsuSIobh8gM76XHK9PF4n7E_P3_8vrqubu9-3Vx9v62C0mZXdb2yomRi5wxA07RkLbal2yMYYUhbtK2yGJoGayP61llNXRAdSJAuoDpjXw-5Ze_TSnnnt2MONE04U1yzN1ZLLWso4OdX4GNc01z-5qVwtbGmbgokDlAoQnKi3i9p3GL65wX4vXd_8O5L9Xvvfh98fgxe2y11LxNH0QX4cgQwB5z6hHMY8wtntC4H1H-eg4s_</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>FERRI, L. E</creator><creator>FELDMAN, L. S</creator><creator>STANBRIDGE, D</creator><creator>MAYRAND, S</creator><creator>STEIN, L</creator><creator>FRIED, G. M</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2005</creationdate><title>Should laparoscopic paraesophageal hernia repair be abandoned in favor of the open approach?</title><author>FERRI, L. E ; FELDMAN, L. S ; STANBRIDGE, D ; MAYRAND, S ; STEIN, L ; FRIED, G. M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-df371abaad960088be77abdf3fa0616e57a7b37ac88a461fb975edc1d02029ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Hernia, Hiatal - surgery</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FERRI, L. E</creatorcontrib><creatorcontrib>FELDMAN, L. S</creatorcontrib><creatorcontrib>STANBRIDGE, D</creatorcontrib><creatorcontrib>MAYRAND, S</creatorcontrib><creatorcontrib>STEIN, L</creatorcontrib><creatorcontrib>FRIED, G. M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FERRI, L. E</au><au>FELDMAN, L. S</au><au>STANBRIDGE, D</au><au>MAYRAND, S</au><au>STEIN, L</au><au>FRIED, G. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Should laparoscopic paraesophageal hernia repair be abandoned in favor of the open approach?</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2005</date><risdate>2005</risdate><volume>19</volume><issue>1</issue><spage>4</spage><epage>8</epage><pages>4-8</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>The most appropriate approach to the repair of large paraesophageal hernias remains controversial. Despite early results of excellent outcomes after laparoscopic repair, recent reports of high recurrence require that this approach be reevaluated.
For this study, 60 primary paraesophageal hernias consecutively repaired at one institution from 1990 to 2002 were reviewed. These 25 open transabdominal and 35 laparoscopic repairs were compared for operative, short-, and long-term outcomes on the basis of quality-of -life questionnaires and radiographs.
No difference in patient characteristics was detected. Laparoscopic repair resulted in lower blood loss, fewer intraoperative complications, and a shorter length of hospital stay. No difference in general or disease-specific quality-of-life was documented. Radiographic follow-up was available for 78% open and 91% laparoscopic repairs, showing anatomic recurrence rates of 44% and 23%, respectively (p = 0.11).
Laparoscopic repair should remain in the forefront for the management of paraesophageal hernias. However, there is considerable room for improvement in reducing the incidence of recurrence.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>15531968</pmid><doi>10.1007/s00464-004-8903-0</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2005, Vol.19 (1), p.4-8 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67525240 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Digestive System Surgical Procedures - methods Digestive system. Abdomen Endoscopy Female Hernia, Hiatal - surgery Humans Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Male Medical sciences Middle Aged Prospective Studies |
| title | Should laparoscopic paraesophageal hernia repair be abandoned in favor of the open approach? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T20%3A16%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Should%20laparoscopic%20paraesophageal%20hernia%20repair%20be%20abandoned%20in%20favor%20of%20the%20open%20approach?&rft.jtitle=Surgical%20endoscopy&rft.au=FERRI,%20L.%20E&rft.date=2005&rft.volume=19&rft.issue=1&rft.spage=4&rft.epage=8&rft.pages=4-8&rft.issn=0930-2794&rft.eissn=1432-2218&rft.coden=SUREEX&rft_id=info:doi/10.1007/s00464-004-8903-0&rft_dat=%3Cproquest_cross%3E67525240%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=219467648&rft_id=info:pmid/15531968&rfr_iscdi=true |