Primary laparoscopic and open repair of paraesophageal hernias: a comparison of short-term outcomes
The choice of the optimal surgical approach for repairing paraesophaeal hernias (PEH) is debated. Our objective is to evaluate the short‐term outcomes of primary laparoscopic and open repairs of PEH performed in the Calgary Health Region. A retrospective review of all patients undergoing repair of P...
Gespeichert in:
| Veröffentlicht in: | Diseases of the esophagus 2008-02, Vol.21 (1), p.63-68 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 68 |
|---|---|
| container_issue | 1 |
| container_start_page | 63 |
| container_title | Diseases of the esophagus |
| container_volume | 21 |
| creator | Karmali, S. McFadden, S. Mitchell, P. Graham, A. Debru, E. Gelfand, G. Graham, J. Martin, S. Tiruta, C. Grondin, S. |
| description | The choice of the optimal surgical approach for repairing paraesophaeal hernias (PEH) is debated. Our objective is to evaluate the short‐term outcomes of primary laparoscopic and open repairs of PEH performed in the Calgary Health Region. A retrospective review of all patients undergoing repair of PEH between October 1999 and February 2005 was performed. The outcome measures evaluated included intra‐operative parameters and post‐operative variables, mortality rates, recurrence rates and patient satisfaction. A total of 93 patients underwent either a laparoscopic (n = 46) or open (n = 47) primary PEH repair. The laparoscopic approach was associated with a longer mean operative time (3.1 ± 1.2 hours vs. 2.5 ± 0.7 hours, P = 0.005) but resulted in a shorter overall hospital stay (5 days [2–16 days]vs. 10 days [5–24 days]; P |
| doi_str_mv | 10.1111/j.1442-2050.2007.00740.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70201765</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70201765</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4550-9fc32deeada02b26a6c2c88bcf277b1a9b435aa95d57a61248d11aa20d8854e83</originalsourceid><addsrcrecordid>eNqNkEFv1DAQhS0EoqX0LyCfuCXYjp04SBzQtmxBVVutinq0Js6EzZLEqZ0V23-PQ1blWksjj_Tem9F8hFDOUh7fp13KpRSJYIqlgrEijSVZenhFTp-F17HngiU6L-UJeRfCjjFeZLl-S0645mVRSn5K7J1ve_BPtIMRvAvWja2lMNTUjThQjyO0nrqGRhUwuHELvxA6ukU_tBA-U6DW9VFsgxtmX9g6PyUT-p66_RQ1DO_Jmwa6gOfH_4z8_HZ5v7pKrm_X31dfrxMrlWJJ2dhM1IhQAxOVyCG3wmpd2UYURcWhrGSmAEpVqwJyLqSuOQcQrNZaSdTZGfm4zB29e9xjmEzfBotdBwO6fTAFE5FArqJRL0YbLw4eGzMuFAxnZgZsdmbmaGaOZgZs_gE2hxj9cNyxr3qs_wePRKPhy2L403b49OLB5uL2_jJ2MZ8s-TZMeHjOg_9t8iIrlHm4WZvNj4vN1fpuZTbZX-pcmmw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70201765</pqid></control><display><type>article</type><title>Primary laparoscopic and open repair of paraesophageal hernias: a comparison of short-term outcomes</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Karmali, S. ; McFadden, S. ; Mitchell, P. ; Graham, A. ; Debru, E. ; Gelfand, G. ; Graham, J. ; Martin, S. ; Tiruta, C. ; Grondin, S.</creator><creatorcontrib>Karmali, S. ; McFadden, S. ; Mitchell, P. ; Graham, A. ; Debru, E. ; Gelfand, G. ; Graham, J. ; Martin, S. ; Tiruta, C. ; Grondin, S.</creatorcontrib><description>The choice of the optimal surgical approach for repairing paraesophaeal hernias (PEH) is debated. Our objective is to evaluate the short‐term outcomes of primary laparoscopic and open repairs of PEH performed in the Calgary Health Region. A retrospective review of all patients undergoing repair of PEH between October 1999 and February 2005 was performed. The outcome measures evaluated included intra‐operative parameters and post‐operative variables, mortality rates, recurrence rates and patient satisfaction. A total of 93 patients underwent either a laparoscopic (n = 46) or open (n = 47) primary PEH repair. The laparoscopic approach was associated with a longer mean operative time (3.1 ± 1.2 hours vs. 2.5 ± 0.7 hours, P = 0.005) but resulted in a shorter overall hospital stay (5 days [2–16 days]vs. 10 days [5–24 days]; P < 0.001), and fewer post‐operative complications (10/46 [22%]vs. 25/47 [53%]P = 0.002). Although the follow‐up was short (laparoscopic 16 months; open 18 months), a 9% recurrence rate was reported with both approaches. Patient satisfaction using the Gastroesophageal Disease Health‐Related Quality Of Life questionnaire was similar in both groups (P = 0.861) with most patients reporting excellent outcomes (laparoscopic: 32/36 [89%]; open 27/35 [77%]). Our review suggests that the laparoscopic approach is safe with shorter hospital stay and recovery. Although early follow‐up suggests that recurrence rates and patient satisfaction are similar, long‐term follow‐up is required to determine whether the laparoscopic approach will become the procedure of choice.</description><identifier>ISSN: 1120-8694</identifier><identifier>EISSN: 1442-2050</identifier><identifier>DOI: 10.1111/j.1442-2050.2007.00740.x</identifier><identifier>PMID: 18197941</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Blood Loss, Surgical ; Female ; Hernia, Hiatal - surgery ; Humans ; Intraoperative Period ; laparoscopic ; Laparoscopy ; Length of Stay - statistics & numerical data ; Male ; Middle Aged ; open ; outcome ; Outcome Assessment (Health Care) ; paraesophageal hernia ; Patient Satisfaction ; Quality of Life ; Recurrence ; Retrospective Studies ; surgery ; Time Factors</subject><ispartof>Diseases of the esophagus, 2008-02, Vol.21 (1), p.63-68</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4550-9fc32deeada02b26a6c2c88bcf277b1a9b435aa95d57a61248d11aa20d8854e83</citedby><cites>FETCH-LOGICAL-c4550-9fc32deeada02b26a6c2c88bcf277b1a9b435aa95d57a61248d11aa20d8854e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1442-2050.2007.00740.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1442-2050.2007.00740.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18197941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karmali, S.</creatorcontrib><creatorcontrib>McFadden, S.</creatorcontrib><creatorcontrib>Mitchell, P.</creatorcontrib><creatorcontrib>Graham, A.</creatorcontrib><creatorcontrib>Debru, E.</creatorcontrib><creatorcontrib>Gelfand, G.</creatorcontrib><creatorcontrib>Graham, J.</creatorcontrib><creatorcontrib>Martin, S.</creatorcontrib><creatorcontrib>Tiruta, C.</creatorcontrib><creatorcontrib>Grondin, S.</creatorcontrib><title>Primary laparoscopic and open repair of paraesophageal hernias: a comparison of short-term outcomes</title><title>Diseases of the esophagus</title><addtitle>Dis Esophagus</addtitle><description>The choice of the optimal surgical approach for repairing paraesophaeal hernias (PEH) is debated. Our objective is to evaluate the short‐term outcomes of primary laparoscopic and open repairs of PEH performed in the Calgary Health Region. A retrospective review of all patients undergoing repair of PEH between October 1999 and February 2005 was performed. The outcome measures evaluated included intra‐operative parameters and post‐operative variables, mortality rates, recurrence rates and patient satisfaction. A total of 93 patients underwent either a laparoscopic (n = 46) or open (n = 47) primary PEH repair. The laparoscopic approach was associated with a longer mean operative time (3.1 ± 1.2 hours vs. 2.5 ± 0.7 hours, P = 0.005) but resulted in a shorter overall hospital stay (5 days [2–16 days]vs. 10 days [5–24 days]; P < 0.001), and fewer post‐operative complications (10/46 [22%]vs. 25/47 [53%]P = 0.002). Although the follow‐up was short (laparoscopic 16 months; open 18 months), a 9% recurrence rate was reported with both approaches. Patient satisfaction using the Gastroesophageal Disease Health‐Related Quality Of Life questionnaire was similar in both groups (P = 0.861) with most patients reporting excellent outcomes (laparoscopic: 32/36 [89%]; open 27/35 [77%]). Our review suggests that the laparoscopic approach is safe with shorter hospital stay and recovery. Although early follow‐up suggests that recurrence rates and patient satisfaction are similar, long‐term follow‐up is required to determine whether the laparoscopic approach will become the procedure of choice.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Loss, Surgical</subject><subject>Female</subject><subject>Hernia, Hiatal - surgery</subject><subject>Humans</subject><subject>Intraoperative Period</subject><subject>laparoscopic</subject><subject>Laparoscopy</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Middle Aged</subject><subject>open</subject><subject>outcome</subject><subject>Outcome Assessment (Health Care)</subject><subject>paraesophageal hernia</subject><subject>Patient Satisfaction</subject><subject>Quality of Life</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>surgery</subject><subject>Time Factors</subject><issn>1120-8694</issn><issn>1442-2050</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEFv1DAQhS0EoqX0LyCfuCXYjp04SBzQtmxBVVutinq0Js6EzZLEqZ0V23-PQ1blWksjj_Tem9F8hFDOUh7fp13KpRSJYIqlgrEijSVZenhFTp-F17HngiU6L-UJeRfCjjFeZLl-S0645mVRSn5K7J1ve_BPtIMRvAvWja2lMNTUjThQjyO0nrqGRhUwuHELvxA6ukU_tBA-U6DW9VFsgxtmX9g6PyUT-p66_RQ1DO_Jmwa6gOfH_4z8_HZ5v7pKrm_X31dfrxMrlWJJ2dhM1IhQAxOVyCG3wmpd2UYURcWhrGSmAEpVqwJyLqSuOQcQrNZaSdTZGfm4zB29e9xjmEzfBotdBwO6fTAFE5FArqJRL0YbLw4eGzMuFAxnZgZsdmbmaGaOZgZs_gE2hxj9cNyxr3qs_wePRKPhy2L403b49OLB5uL2_jJ2MZ8s-TZMeHjOg_9t8iIrlHm4WZvNj4vN1fpuZTbZX-pcmmw</recordid><startdate>200802</startdate><enddate>200802</enddate><creator>Karmali, S.</creator><creator>McFadden, S.</creator><creator>Mitchell, P.</creator><creator>Graham, A.</creator><creator>Debru, E.</creator><creator>Gelfand, G.</creator><creator>Graham, J.</creator><creator>Martin, S.</creator><creator>Tiruta, C.</creator><creator>Grondin, S.</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</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>7X8</scope></search><sort><creationdate>200802</creationdate><title>Primary laparoscopic and open repair of paraesophageal hernias: a comparison of short-term outcomes</title><author>Karmali, S. ; McFadden, S. ; Mitchell, P. ; Graham, A. ; Debru, E. ; Gelfand, G. ; Graham, J. ; Martin, S. ; Tiruta, C. ; Grondin, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4550-9fc32deeada02b26a6c2c88bcf277b1a9b435aa95d57a61248d11aa20d8854e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Loss, Surgical</topic><topic>Female</topic><topic>Hernia, Hiatal - surgery</topic><topic>Humans</topic><topic>Intraoperative Period</topic><topic>laparoscopic</topic><topic>Laparoscopy</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Middle Aged</topic><topic>open</topic><topic>outcome</topic><topic>Outcome Assessment (Health Care)</topic><topic>paraesophageal hernia</topic><topic>Patient Satisfaction</topic><topic>Quality of Life</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>surgery</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karmali, S.</creatorcontrib><creatorcontrib>McFadden, S.</creatorcontrib><creatorcontrib>Mitchell, P.</creatorcontrib><creatorcontrib>Graham, A.</creatorcontrib><creatorcontrib>Debru, E.</creatorcontrib><creatorcontrib>Gelfand, G.</creatorcontrib><creatorcontrib>Graham, J.</creatorcontrib><creatorcontrib>Martin, S.</creatorcontrib><creatorcontrib>Tiruta, C.</creatorcontrib><creatorcontrib>Grondin, S.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the esophagus</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karmali, S.</au><au>McFadden, S.</au><au>Mitchell, P.</au><au>Graham, A.</au><au>Debru, E.</au><au>Gelfand, G.</au><au>Graham, J.</au><au>Martin, S.</au><au>Tiruta, C.</au><au>Grondin, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary laparoscopic and open repair of paraesophageal hernias: a comparison of short-term outcomes</atitle><jtitle>Diseases of the esophagus</jtitle><addtitle>Dis Esophagus</addtitle><date>2008-02</date><risdate>2008</risdate><volume>21</volume><issue>1</issue><spage>63</spage><epage>68</epage><pages>63-68</pages><issn>1120-8694</issn><eissn>1442-2050</eissn><abstract>The choice of the optimal surgical approach for repairing paraesophaeal hernias (PEH) is debated. Our objective is to evaluate the short‐term outcomes of primary laparoscopic and open repairs of PEH performed in the Calgary Health Region. A retrospective review of all patients undergoing repair of PEH between October 1999 and February 2005 was performed. The outcome measures evaluated included intra‐operative parameters and post‐operative variables, mortality rates, recurrence rates and patient satisfaction. A total of 93 patients underwent either a laparoscopic (n = 46) or open (n = 47) primary PEH repair. The laparoscopic approach was associated with a longer mean operative time (3.1 ± 1.2 hours vs. 2.5 ± 0.7 hours, P = 0.005) but resulted in a shorter overall hospital stay (5 days [2–16 days]vs. 10 days [5–24 days]; P < 0.001), and fewer post‐operative complications (10/46 [22%]vs. 25/47 [53%]P = 0.002). Although the follow‐up was short (laparoscopic 16 months; open 18 months), a 9% recurrence rate was reported with both approaches. Patient satisfaction using the Gastroesophageal Disease Health‐Related Quality Of Life questionnaire was similar in both groups (P = 0.861) with most patients reporting excellent outcomes (laparoscopic: 32/36 [89%]; open 27/35 [77%]). Our review suggests that the laparoscopic approach is safe with shorter hospital stay and recovery. Although early follow‐up suggests that recurrence rates and patient satisfaction are similar, long‐term follow‐up is required to determine whether the laparoscopic approach will become the procedure of choice.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>18197941</pmid><doi>10.1111/j.1442-2050.2007.00740.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1120-8694 |
| ispartof | Diseases of the esophagus, 2008-02, Vol.21 (1), p.63-68 |
| issn | 1120-8694 1442-2050 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70201765 |
| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Wiley Online Library All Journals |
| subjects | Adult Aged Aged, 80 and over Blood Loss, Surgical Female Hernia, Hiatal - surgery Humans Intraoperative Period laparoscopic Laparoscopy Length of Stay - statistics & numerical data Male Middle Aged open outcome Outcome Assessment (Health Care) paraesophageal hernia Patient Satisfaction Quality of Life Recurrence Retrospective Studies surgery Time Factors |
| title | Primary laparoscopic and open repair of paraesophageal hernias: a comparison of short-term outcomes |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T10%3A18%3A45IST&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=Primary%20laparoscopic%20and%20open%20repair%20of%20paraesophageal%20hernias:%20a%20comparison%20of%20short-term%20outcomes&rft.jtitle=Diseases%20of%20the%20esophagus&rft.au=Karmali,%20S.&rft.date=2008-02&rft.volume=21&rft.issue=1&rft.spage=63&rft.epage=68&rft.pages=63-68&rft.issn=1120-8694&rft.eissn=1442-2050&rft_id=info:doi/10.1111/j.1442-2050.2007.00740.x&rft_dat=%3Cproquest_cross%3E70201765%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=70201765&rft_id=info:pmid/18197941&rfr_iscdi=true |