[Laparoscopic combined Nissen-Rossetti fundoplication and cholecystectomy: our experience].
OBJECTIVE
The aim of this study is to valuate the opportunity to associate both laparoscopic Nissen-Rossetti fundoplication and cholecystectomy in patients with gallbladder cholelithiasis and gastro-oesophageal acid reflux (endoscopically and pHmetrically assessed), considerating that the gallbladder removal makes duodenal-gastric reflux worse.


METHODS
From 2005 until 2007 we associated laparoscopic Nissen-Rossetti fundoplication and cholecystectomy in 10 patiens, who presented surgical indications for gallbladder cholelithiasis and gastro-oesophageal reflux. Clinical data, surgical procedures and post-operative complications were compared to our esperiency on the singular procedure (laparoscopic Nissen-Rossetti fundoplication and cholecystectomy). Results were valuated at 3, 6 and 12 months after surgical interventions by clinical and instrumental follow up (24-pH-metry and oesophagus-gastro-duodenoscopy).


RESULTS
The analysis of instrumental data of these associated procedures doesn't present significative differences between the singular surgical approach. In all the patients treated by combined procedure, the follow-up shows a normal pHmetric exam, a good control on the acid reflux by fundosplication, absence of distal oesophagitis and gastric reflux symptoms.


CONCLUSIONS
The association of laparoscopic Nissen-Rossetti fundoplication and laparoscopic cholecystectomy is indicated in patients who present both pathologies and needs to be considerating in relations to the good results and the low postoperatoric morbidity.
Tosato
F
F
Università degli Studi di Roma "La Sapienza", Policlinico Umberto I, Dipartimento di Chirurgia Generale e Day Surgery "F. Durante".
Paltrinieri
G
G
Monsellato
I
I
Leonardo
G
G
Martire
I
I
Palombi
L
L
D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D041761:Cholecystolithiasis / Q000150:complications / Q000601:surgery*; D050782:Esophageal pH Monitoring; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome