Laparoscopic Nissen Fundoplication, Single Center Experience

Aim: Evaluate the outcomes of laparoscopic Nissen fundoplication surgery for the treatment of gastroesophageal reflux disease. Material and Method: Examined in our clinic, between January 2008 and July 2012 of 81 patients laparoscopic Nissen fundoplication administered retrospectively. 45 patients were female (56%) and 36 men (44%). Average age was 40 (20-67). Medical treatment was given to all patients for at least 2 months before the surgery. Endoscopy and esophageal biopsy was performed in all patients preoperatively. Operations were performed under general anesthesia, using 5 ports. Results: All patients, there were heartburn and stomach contents come into the mouth. The average time between the start of complaints surgery 12 months (range, 4 months-8 years). Endoscopic examination was detected esophagitis in all patients preoperatively. Barrett's esophagitis was found in 6 patients, histopathologic examination. Mean operative time was 68 min (45-120 min), and the median length of hospital stay 3 days (1-7 days). The median follow-up time was determined as 13 months (7-40 months). One patient was re-operated hiatus hernia recurrence of 10 months after the first surgery. The functional results were excellent in 76% of patients, 14% good, 10% as medium. Discussion: Laparoscopic Nissen fundoplication is a surgical initiative, the treatment of gastroesophageal reflux disease, with low morbidity and mortality rates can be applied, and an alternative to long-term drug treatment.