Laparoscopic treatment of large paraesophageal hernias |
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| Authors: | D L van der Peet E C Klinkenberg-Knol A Alonso Poza C Sietses Q A J Eijsbouts M A Cuesta |
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| Institution: | (1) Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL;(2) Department of Gastroenterology, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands, NL |
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| Abstract: | Background: We set out to evaluate the results of the laparoscopic treatment of large paraesophageal hernias in 22 patients.
Methods: Between 1993 and 1998, we operated on 22 consecutive patients. Preoperative assessment consisted of endoscopy, barium esophagogram,
24-h pH testing, manometry, and gastric emptying times.
Results: In the first three patients, the sac was not excised and gastropexy was not performed. Because of recurrences, we decided
to change the technique in an attempt to avoid further complications. During middle- to long-term follow-up, only three recurrences
were seen in the subsequent 19 patients. There were no deaths in this series.
Conclusions: Laparoscopic treatment of large paraesophageal hernias is feasible. Because recurrences may occur after successful laparoscopic
treatment, both resection of the sac and some form of gastropexy are imperative.
Received: 22 March 2000/Accepted: 30 April 2000/Online publication: 20 September 2000 |
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| Keywords: | : Laparoscopy — Paraesophageal hernia — Hiatal hernia — Hernia |
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