Top

Published in:

01-02-2013

Laparoendoscopic single site (LESS) vs. conventional laparoscopic fundoplication for GERD: is there a difference?

Authors: Sharona Ross, Andy Roddenbery, Kenneth Luberice, Harold Paul, Thomas Farrior, Michelle Vice, Krishen Patel, Alexander Rosemurgy

Published in: Surgical Endoscopy | Issue 2/2013

Abstract

Background

This report details our experience with laparoendoscopic single site (LESS) fundoplication for GERD and provides a comparison to earlier contiguous patients undergoing conventional laparoscopic fundoplication.

Methods

With institutional review board approval, symptoms before and after LESS fundoplications and conventional laparoscopic fundoplications were scored by patients. Outcomes after 130 consecutive LESS fundoplications were compared to 130 contiguous consecutive outcomes after conventional laparoscopic fundoplications.

Results

Patients undergoing conventional laparoscopic vs. LESS fundoplication were very similar. There were no conversions to “open” operations and no notable complications with LESS fundoplication. Symptom reduction was broad and dramatic for patients undergoing LESS or conventional laparoscopic fundoplication; 96 % of patients who underwent LESS fundoplication scored their incision as ≥8 (1 = revolting to 10 = beautiful).

Conclusions

Relative to conventional laparoscopy, LESS surgery provides excellent resolution of symptoms without an apparent scar. In comparison to conventional laparoscopy, LESS fundoplication is as safe with similar symptom improvement and superior cosmesis.

Podolsky ER, Rottman SJ, Curcillo PG 2nd (2009) Single-port access (SPA) cholecystectomy: two-year follow-up. JSLS 13:528–535PubMedCrossRef

Edwards C, Bradshaw A, Ahearne P, Dermatos P, Humble T, Johnson R, Mauterer D, Soosaar P (2010) Single-incision laparoscopic cholecystectomy is feasible: initial experience with 80 cases. Surg Endosc 24:2241–2247PubMedCrossRef

Podolsky ER, Curcillo PG 2nd (2010) Single-port access (SPA) surgery: a 24-month experience. J Gastrointest Surg 14:759–767PubMedCrossRef

Gumbs AA, Milone L, Sinha P, Bessler M (2009) Totally transumbilical laparoscopic cholecystectomy. J Gastrointest Surg 13:533–534PubMedCrossRef

Gill IS, Advincula AP, Aron M, Caddedu J, Canes D, Curcillo PG 2nd, Desai MM, Evanko JC, Falcone T, Fazio V, Gettman M, Gumbs AA, Haber GP, Kaouk JH, Kim F, King SA, Ponsky J, Remzi F, Rivas H, Rosemurgy A, Ross S, Schauer P, Sotelo R, Speranza J, Sweeney J, Teixeira J (2010) Consensus statement of the consortium for laparoendoscopic single-site surgery. Surg Endosc 24:762–768PubMedCrossRef

Chow A, Purkayastha S, Aziz O, Paraskeva P (2010) Single-incision laparoscopic surgery for cholecystectomy: an evolving technique. Surg Endosc 24:709–714PubMedCrossRef

McCloy R, Randall D, Schug SA, Kehlet H, Simanski C, Bonnet F, Camu F, Fischer B, Joshi G, Rawal N, Neugebauer EA (2008) Is smaller necessarily better? A systematic review comparing the effects of minilaparoscopy and conventional laparoscopic cholecystectomy on patient outcome. Surg Endosc 22:2541–2553PubMedCrossRef

Hernandez JM, Morton CA, Ross S, Albrink M, Rosemurgy AS (2009) Laparoendoscopic single-site cholecystectomy: the first 100 patients. Am Surg 75:681–685PubMed

Osborne D, Boe B, Rosemurgy AS, Zervos EE (2005) Twenty-millimeter laparoscopic cholecystectomy: fewer ports results in less pain, shorter hospitalization, and faster recovery. Am Surg 71:298–302PubMed

10.

Hodgett SE, Hernandez JM, Morton CA, Ross SB, Albrink M, Rosemurgy AS (2009) Laparoendoscopic single-site (LESS) cholecystectomy. J Gastrointest Surg 13:188–192PubMedCrossRef

11.

Hawasli A, Kandeel A, Meguid A (2010) Single-incision laparoscopic cholecystectomy (SILC): a refined technique. Am J Surg 199:289–293PubMedCrossRef

12.

Rosmurgy AS, Donn N, Paul H, Luberice K, Ross SB (2011) Gastroesophageal reflux disease. Surg Clin N Am 91:1015–1029CrossRef

13.

Golkar F, Morton C, Ross S, Vice M, Arnaoutakis D, Dahal S, Hernandez J, Rosemurgy A (2010) Medical comorbidities should not deter the application of laparoscopic fundoplication. J Gastrointest Surg 14:1214–1217PubMedCrossRef

14.

D’Alessio MJ, Rakita S, Bloomston M, Chambers CM, Zervos EE, Goldin SB, Poklepovic J, Boyce HW, Rosemurgy AS (2005) Esophagography predicts favorable outcome after laparoscopic Nissen fundoplication for patients with esophageal dysmotility. J Am Coll Surg 201:335–342PubMedCrossRef

15.

Ross SB, Villadolid D, Paul H, Al-Saadi S, Gonzalelz J, Cowgill SM, Rosemurgy A (2008) Laparoscopic Nissen fundoplication ameliorates symptoms of reflux, especially for patients with very abnormal DeMeester scores. Am Surg 74:635–642PubMed

16.

Hernandez J, Ross S, Morton C, McFarlin K, Dahal S, Golkar F, Albrink M, Rosemurgy A (2010) The learning curve of laparoendoscopic single-site (LESS) cholecystectomy: definable, short, and safe. J Am Coll Surg 211:652–657PubMedCrossRef

17.

Huang CK, Tsai JC, Lo CH, Houng JY, Chen YS, Chi SC, Lee PH (2011) Preliminary surgical results of single-incision transumbilical laparoscopic bariatric surgery. Obes Surg 21:391–396PubMedCrossRef

18.

Solomon D, Bell RL, Duffy AJ, Roberts KE (2010) Single-port cholecystectomy: small scar, short learning curve. Surg Endosc 24:2954–2957PubMedCrossRef

19.

Binebaum SJ, Teixeira JA, Forrester GJ, Harvey EJ, Afthinos J, Kim GJ, Koshy N, McGinty J, Belsley SJ, Todd GJ (2009) Single-incision laparoscopic cholecystectomy using a flexible endoscope. Arch Surg 144:734–738CrossRef

Title: Laparoendoscopic single site (LESS) vs. conventional laparoscopic fundoplication for GERD: is there a difference?
Authors: Sharona Ross
Andy Roddenbery
Kenneth Luberice
Harold Paul
Thomas Farrior
Michelle Vice
Krishen Patel
Alexander Rosemurgy
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 2/2013
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-012-2476-0

ACC 2024 Congress

Springer Medicine

Laparoendoscopic single site (LESS) vs. conventional laparoscopic fundoplication for GERD: is there a difference?

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 2/2013

A novel intracorporeal assembling robotic system for single-port laparoscopic surgery

Outcomes of resection of extra-adrenal pheochromocytomas/paragangliomas in the laparoscopic era: a comparison with adrenal pheochromocytoma

Evaluation of bacterial contamination after “pure” (totally) transvaginal NOTES® diagnostic peritoneoscopy with biopsies in swine: a comparative study with laparoscopy

Three-dimensional laparoscopy: a step toward advanced surgical navigation

Centralisation of upper-GI cancer services: is the hub quicker than the spoke?

Perioperative outcomes of revisional laparoscopic gastric bypass after failed adjustable gastric banding and after vertical banded gastroplasty: experience with 107 cases and subgroup analysis