Laparoscopic Nissen fundoplication: a five-year single-center clinical experience and results

M.Z. Buldanli, B. Uçaner, M.S. Çiftçi, Y.S. Peker, O. Hançerlioğullari

Department of General Surgery, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey. buldanli87@hotmail.com

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• Surgery

OBJECTIVE: The current surgical approach in the treatment of hiatal hernia with gastroesophageal reflux disease is known as hernioplasty together with antireflux surgical procedures. Among the antireflux surgical treatment procedures, the most applied approach is the laparoscopic Nissen fundoplication. In this study, we aimed to examine the results and effectiveness of laparoscopic Nissen fundoplication and to share our clinical experiences.

PATIENTS AND METHODS:  Patients who underwent laparoscopic Nissen fundoplication operation between January 2017 and January 2022 in the general surgery clinic of a tertiary healthcare center were included in the study. The clinical data, preoperative, operative, and postoperative findings and results of the cases were investigated.

RESULTS: The mean age of the patients was 46.2 ± 14.7 years, and the female/male ratio was 1.5/1. According to the Clavien-Dindo classification system, 9.9% of the patients had grade I, and 18.3% grade II complications. The patients were followed up for a mean of 32.6 ± 14.8 months. During the follow-up, reoperation was planned in 5.6% of the patients due to recurrence.

CONCLUSIONS: Laparoscopic Nissen fundoplication is a well-defined technique. It is a safe and effective surgical method with appropriate patient selection.

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