caa a22 4500 475781678 CHVBK 20180406123646.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s004640000248 doi (NATIONALLICENCE)springer-10.1007/s004640000248 Laparoscopic antireflux surgery: comparative study of Nissen, Nissen-Rossetti, and Toupet fundoplication [Elektronische Daten] [P. Pessaux, J.-P. Arnaud, B. Ghavami, J. B. Flament, G. Trebuchet, C. Meyer, N. Huten, G. Champault] Background: The aim of this retrospective study was to compare the results of Nissen, Nissen-Rossetti, and Toupet laparoscopic fundoplication in terms of gastroesophageal reflux disease (GERD). Methods: From 1992 to 1996, 1,470 laparoscopic fundoplications were performed using one of three procedures: Nissen (n= 655), Nissen-Rossetti (n= 423), and Toupet (n= 392). Preoperative checkup included esophagogastroduodenoscopy in 1,437 patients (97.7%), esophageal manometry in 934 patients (63.5%), and 24-h pH-metry in 799 patients (54.3%). The results were estimated at 1 month, 3 months, and 2 years. Patients unable to visit the hospital center were contacted by telephone. Results: The three groups were quite similar regarding demographic data such as age, gender, preoperative clinical symptoms, and duration of GERD. One death (0.07%) occurred. At 3 months, there were no differences among the three groups concerning conversion, morbidity, dysphagia, early reintervention, or postoperative length of stay. The length of surgery was more important in the Toupet procedure. In the Nissen group, there were fewer Visick grade I patients but more Visick grade III patients. At 2 years, the recurrence and reintervention rates were similar. The overall residual severe dysphagia rate was 0.35% (n= 5). In the Nissen group, there were fewer Visick grade I patients but more in Visick grade II patients. There was no difference in Visick grade III and IV among the groups. More than 90% of the patients were satisfied (Visick I + Visick II), with no significant difference among the three groups. Conclusions: The results of this study do not differ significantly from the data reported in the literature, suggesting such surgical techniques are effective and well tolerated, and that both can be properly used in the treatment of GERD. Springer-Verlag New York Inc., 2000 Key words: Fundoplication — Gastroesophageal reflux disease — Laparoscopy — Nissen — Nissen-Rossetti — Toupet nationallicence Pessaux P. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Arnaud J.-P Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Ghavami B. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Flament J. B. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Trebuchet G. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Meyer C. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Huten N. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Champault G. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut https://doi.org/10.1007/s004640000248 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000248 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pessaux P. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Arnaud J.-P Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Ghavami B. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Flament J. B. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Trebuchet G. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Meyer C. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Huten N. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Champault G. Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer