Short-term outcome of laparoscopic paraesophageal hernia repair. A case series of 58 consecutive patients.
BACKGROUND
The purpose of this study is to determine the morbidity, mortality, and short-term outcomes associated with laparoscopic paraesophageal hernia repair (LPHR).


METHODS
A series of 58 consecutive LPHRs performed by the author were reviewed with an average 1-year follow-up. Morbidity and mortality rates were compared with historical series of open repairs. Anatomy and technical considerations pertinent to LPHR were reviewed.


RESULTS
There were no procedure-related or perioperative deaths in this series of patients undergoing LPHR. Four major complications occurred (7%), two of which required reoperation, all in urgently repaired patients. One patient required conversion to laparotomy (1. 7%). Based on symptoms, there were no reherniations. No patients had long-term dysphagia worse than preoperatively. Preoperative symptoms of chest pain, esophageal obstruction, hemorrhage, and reflux were resolved in all patients.


CONCLUSIONS
LPHR is safe, effective, and compares favorably to historical series of open paraesophageal hernia repair.
Huntington
T R
TR
Department of Surgery, St. Luke's Regional Medical Center Department of Surgery, Boise Veteran's Affairs Medical Center, 222 N. 2nd Street, Suite 107, Boise, ID 83702, USA.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006551:Hernia, Hiatal / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods / Q000401:mortality; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011379:Prognosis; D012086:Reoperation; D012307:Risk Factors; D015996:Survival Rate; D013908:Thoracotomy / Q000009:adverse effects / Q000379:methods; D013997:Time Factors