caa a22 4500 475781775 CHVBK 20180406123646.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s004640000199 doi (NATIONALLICENCE)springer-10.1007/s004640000199 Laparoscopic treatment of large paraesophageal hernias [Elektronische Daten] Both excision of the sac and gastropexy are imperative for adequate surgical treatment [D. L. van der Peet, E. C. Klinkenberg-Knol, A. Alonso Poza, C. Sietses, Q. A. J. Eijsbouts, M. A. Cuesta] Background: We set out to evaluate the results of the laparoscopic treatment of large paraesophageal hernias in 22 patients. Methods: Between 1993 and 1998, we operated on 22 consecutive patients. Preoperative assessment consisted of endoscopy, barium esophagogram, 24-h pH testing, manometry, and gastric emptying times. Results: In the first three patients, the sac was not excised and gastropexy was not performed. Because of recurrences, we decided to change the technique in an attempt to avoid further complications. During middle- to long-term follow-up, only three recurrences were seen in the subsequent 19 patients. There were no deaths in this series. Conclusions: Laparoscopic treatment of large paraesophageal hernias is feasible. Because recurrences may occur after successful laparoscopic treatment, both resection of the sac and some form of gastropexy are imperative. Springer-Verlag New York Inc., 2000 Key words: Laparoscopy — Paraesophageal hernia — Hiatal hernia — Hernia nationallicence van der Peet D. L. Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut Klinkenberg-Knol E. C. Department of Gastroenterology, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut Poza A. Alonso Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut Sietses C. Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut Eijsbouts Q. A. J. Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut Cuesta M. A. Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut https://doi.org/10.1007/s004640000199 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000199 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- van der Peet D. L. Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut NATIONALLICENCE 700 1- Klinkenberg-Knol E. C. Department of Gastroenterology, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut NATIONALLICENCE 700 1- Poza A. Alonso Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut NATIONALLICENCE 700 1- Sietses C. Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut NATIONALLICENCE 700 1- Eijsbouts Q. A. J. Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut NATIONALLICENCE 700 1- Cuesta M. A. Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer