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Surgical Endoscopy
Published in: Surgical Endoscopy 8/2009

01-08-2009

Feasibility of laparoscopic Nissen fundoplication as a day-case procedure

Authors: Malaika S. Vlug, Jan Wind, Jan H. Eshuis, Robert Lindeboom, Mark I. van Berge Henegouwen, Willem A. Bemelman

Published in: Surgical Endoscopy | Issue 8/2009

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Abstract

Background

The aim of this prospective double-cohort pilot study is to evaluate the feasibility and desirability of laparoscopic Nissen fundoplication (LNF) performed in day-care when compared with laparoscopic cholecystectomy (LC) in day-care.

Methods

Patients who underwent a LNF in day-care were prospectively evaluated. LNF patients were treated according to LC in day-care protocol. Outcome parameters were EQ-5D, visual analogue scale (VAS), and patient satisfaction.

Results

From October 2005 to March 2008, 22 patients underwent LNF and 48 patients LC in day-care. After LNF, 21 out of 22 (95%) patients were discharged the same day. Seven (32%) patients were seen postoperatively in the Emergency Department with dysphagia or pain and two (9%) patients were readmitted. After LC, 45 out of 48 (94%) patients were discharged the same day. Six (12.5%) patients were seen postoperatively in the Emergency Department because of wound infection or pain and three (6%) were readmitted. EQ-5D and VAS scores were significantly worse after LNF in day-care (repeated measurements, p < 0.0001 and p < 0.0001). In a telephone survey 66.7% preferred a short hospital stay over day-care surgery after LNF compared with 30.9% after LC (p = 0.011).

Conclusions

LNF in day-care is feasible and safe, but postoperative pain scores are high and most prefer short hospital stay.
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Metadata
Title
Feasibility of laparoscopic Nissen fundoplication as a day-case procedure
Authors
Malaika S. Vlug
Jan Wind
Jan H. Eshuis
Robert Lindeboom
Mark I. van Berge Henegouwen
Willem A. Bemelman
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 8/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-008-0277-2

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