[Laparoscopic cure of gastroesophageal reflux disease. Results of a multicenter trial].
OBJECTIVE
The aim of our trial was to assess preoperative assessment and short-term results of laparoscopic cure of gastroesophageal disease performed by digestive surgeons not specialized in this disease.


METHODS
335 consecutive cures were performed by 11 surgeons.


RESULTS
29% of patients had pH-metry, 52% had manometry. The procedure was: Nissen-Rossetti in 66% of cases, Toupet in 17%, and Nissen in 16% of cases. The conversion rate was 13%. The intraoperative complication rate was 3.28% and 2.08% of patients had a reoperation. One patient died. 5% of patients had dysphagia more than three months after the operation.


CONCLUSIONS
Our results show an absence of consensus concerning preoperative assessment. They suggest that careful intraoperative management, with a high conversion rate, reflecting our initial experience, allows similar results to those of teams specialized in laparoscopic surgery and better than laparotomy series.
Johanet
H
H
Service de Chirurgie Générale et Digestive, Groupe Hospitalier Bichat-Claude-Bernard, Paris.
Bellouard
A
A
Bokobza
B
B
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011361:Professional Competence; D016896:Treatment Outcome
Cure de reflux gastro-oesophagien par coelioscopie. Résultats d'une étude multicentrique.