Clinical analysis of 89 cases of reflux esophagitis treated by laparoscopic anterior 180°fundus folding

doi:10.3877/cma.j.issn.2095-8765.2024.02.004

Abstract

Abstract:

Objective

To investigate the reliability and effect of laparoscopic 180° anterior fundoplication for reflux esophagitis.

Methods

The clinical data of 89 patients with reflux esophagitis who underwent laparoscopic 180° anterior fundoplication from January 2016 to December 2022 were retrospectively analyzed, and the patients were followed up at 6, and 12 months after surgery. The preoperative and postoperative reflux symptom scores (GERD-Q), quality of life scores (GERD-QOL), operative time, intraoperative bleeding, and postoperative complications were compared.

Results

All surgeries were successful, with a mean operative time of (85.3±6.5) minutes, a mean intraoperative bleeding of (10.7±5.301) ml, and a mean postoperative hospitalization of (4.53±1.67) d; GERD-Q and GERD-QOL scores of the patients were significantly lower in the postoperative period compared with the preoperative period (both P<0.05). The average postoperative follow-up was 18 months, and the follow-up GERD-Q scale within 1 year after surgery suggested a satisfactory efficacy rate of 88%.

Conclusion

Laparoscopic anterior 180° fundoplication for reflux esophagitis is a safe and effective procedure.

Key words: Laparoscopy, Fundoplication, Reflux esophagitis

Yu Wu, Yu Wang, Jing Xun, Lin Lang, Honglei Wang, Xi Yao, Qi Gao. Clinical analysis of 89 cases of reflux esophagitis treated by laparoscopic anterior 180°fundus folding[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2024, 11(02): 85-90.

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Figures/Tables 7

References 14

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指标	DeMeester评分<50（37例）	DeMeester评分50~100（22例）	DeMeester评分>100（30例）	总体（89例）
年龄（岁，±s）	60.16±13.38	60.55±9.33	57.40±13.53	59.33±12.50
性别（男性/女性）	16/21	12/10	16/14	44/45
发病时间（个月，±s）	77.86±85.32	76.86±63.60	71.38±108.3	75.43±88.39
心理、精神问题（例）	0	0	0	0
食管裂孔疝（例）	36	21	30	87
食管外症状（例）	5	1	0	6

指标	DeMeester评分<50（37例）	DeMeester评分50~100（22例）	DeMeester评分>100（30例）	总体（89例）
年龄（岁，±s）	60.16±13.38	60.55±9.33	57.40±13.53	59.33±12.50
性别（男性/女性）	16/21	12/10	16/14	44/45
发病时间（个月，±s）	77.86±85.32	76.86±63.60	71.38±108.3	75.43±88.39
心理、精神问题（例）	0	0	0	0
食管裂孔疝（例）	36	21	30	87
食管外症状（例）	5	1	0	6

指标	DeMeester评分<50	DeMeester评分50~100	DeMeester评分>100	平均
手术时间（min，±s）	140.90±50.06	146.50±37.48	151.90±42.32	146.00±44.42
术中出血量（ml，±s）	10.57±5.194	10.95±5.178	10.67±5.683	10.7±5.301
术中胸膜损伤（例）	1	0	0	1
住院时间（d，±s）	12.68±3.72	11.27±4.03	10.3±3.00	11.53±3.68
术后住院时间（d，±s）	4.89±2.08	4.23±1.34	4.30±1.21	4.53±1.67
放置补片（例）	23	14	21	58
术后并发症吞咽困难（例）	2	3	1	6
反酸、烧心复发（例）	0	1	1	2
食管裂孔疝复发（例）	0	1	1	2

指标	DeMeester评分<50	DeMeester评分50~100	DeMeester评分>100	平均
手术时间（min，±s）	140.90±50.06	146.50±37.48	151.90±42.32	146.00±44.42
术中出血量（ml，±s）	10.57±5.194	10.95±5.178	10.67±5.683	10.7±5.301
术中胸膜损伤（例）	1	0	0	1
住院时间（d，±s）	12.68±3.72	11.27±4.03	10.3±3.00	11.53±3.68
术后住院时间（d，±s）	4.89±2.08	4.23±1.34	4.30±1.21	4.53±1.67
放置补片（例）	23	14	21	58
术后并发症吞咽困难（例）	2	3	1	6
反酸、烧心复发（例）	0	1	1	2
食管裂孔疝复发（例）	0	1	1	2

	DeMeester评分<50	DeMeester评分50-100	DeMeester评分>100	P	P₁	P₂
术前GERD-Q	10.11±2.47	12.55±1.84	12.53±1.78	0.0002	<0.0001	0.9810
术前GERD-QOL	15.05±4.37	14.86±4.29	12.50±2.87	0.8712	0.0056	0.0316

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