Skip to main content
SpringerLink
Log in

Feasibility of laparoscopic Nissen fundoplication as a day-case procedure

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Dent J, El-Serag HB, Wallander MA, Johansson S (2005) Epidemiology of gastro-oesophageal reflux disease: a systematic review. Gut 54(5):710–717

    Article  PubMed  CAS  Google Scholar 

  2. Rossetti M, Hell K (1977) Fundoplication for the treatment of gastroesophageal reflux in hiatal hernia. World J Surg 1(4):439–443

    Article  PubMed  CAS  Google Scholar 

  3. Dallemagne B, Weerts JM, Jehaes C, Markiewicz S, Lombard R (1991) Laparoscopic Nissen fundoplication: preliminary report. Surg Laparosc Endosc 1(3):138–143

    PubMed  CAS  Google Scholar 

  4. Ackroyd R, Watson DI, Majeed AW, Troy G, Treacy PJ, Stoddard CJ (2004) Randomized clinical trial of laparoscopic versus open fundoplication for gastro-oesophageal reflux disease. Br J Surg 91(8):975–982

    Article  PubMed  CAS  Google Scholar 

  5. Gurusamy K, Junnarkar S, Farouk M, Davidson BR (2008) Meta-analysis of randomized controlled trials on the safety and effectiveness of day-case laparoscopic cholecystectomy. Br J Surg 95(2):161–168

    Article  PubMed  CAS  Google Scholar 

  6. Milford MA, Paluch TA (1997) Ambulatory laparoscopic fundoplication. Surg Endosc 11(12):1150–1152

    Article  PubMed  CAS  Google Scholar 

  7. Ng R, Mullin EJ, Maddern GJ (2005) Systematic review of day-case laparoscopic Nissen fundoplication. ANZ J Surg 75(3):160–164

    Article  PubMed  Google Scholar 

  8. Narain PK, Moss JM, DeMaria EJ (2000) Feasibility of 23-hour hospitalization after laparoscopic fundoplication. J Laparoendosc Adv Surg Tech A 10(1):5–11

    Article  PubMed  CAS  Google Scholar 

  9. Ansell GL, Montgomery JE (2004) Outcome of ASA III patients undergoing day case surgery. Br J Anaesth 92(1):71–74

    Article  PubMed  CAS  Google Scholar 

  10. Chung F (1995) Recovery pattern and home-readiness after ambulatory surgery. Anesth Analg 80(5):896–902

    Article  PubMed  CAS  Google Scholar 

  11. Dolan P, Roberts J (2002) Modelling valuations for EQ-5D health states: an alternative model using differences in valuations. Med Care 40(5):442–446

    Article  PubMed  Google Scholar 

  12. Bailey ME, Garrett WV, Nisar A, Boyle NH, Slater GH (2003) Day-case laparoscopic Nissen fundoplication. Br J Surg 90(5):560–562

    Article  PubMed  CAS  Google Scholar 

  13. Ray S (2003) Result of 310 consecutive patients undergoing laparoscopic Nissen fundoplication as hospital outpatients or at a free-standing surgery center. Surg Endosc 17(3):378–380

    Article  PubMed  CAS  Google Scholar 

  14. Trondsen E, Mjaland O, Raeder J, Buanes T (2000) Day-case laparoscopic fundoplication for gastro-oesophageal reflux disease. Br J Surg 87(12):1708–1711

    Article  PubMed  CAS  Google Scholar 

  15. Cohn JC, Klingler PJ, Hinder RA (1997) Laparoscopic Nissen fundoplication as an ambulatory surgery center procedure. Todays Surg Nurse 19(4):27–30

    PubMed  CAS  Google Scholar 

  16. Finley CR, McKernan JB (2001) Laparoscopic antireflux surgery at an outpatient surgery center. Surg Endosc 15(8):823–826

    Article  PubMed  CAS  Google Scholar 

  17. Mariette C, Piessen G, Balon JM, Guidat A, Lebuffe G, Triboulet JP (2007) The safety of the same-day discharge for selected patients after laparoscopic fundoplication: a prospective cohort study. Am J Surg 194(3):279–282

    Article  PubMed  Google Scholar 

  18. Victorzon M, Tolonen P, Vuorialho T (2006) Laparoscopic floppy Nissen fundoplication for gastro-oesophageal reflux disease is feasible as a day-case procedure. Scand J Surg 95(3):162–165

    PubMed  CAS  Google Scholar 

  19. Keulemans Y, Eshuis J, de HH, de Wit LT, Gouma DJ (1998) Laparoscopic cholecystectomy: day-care versus clinical observation. Ann Surg 228(6):734–740

    Article  PubMed  CAS  Google Scholar 

  20. Bisgaard T, Klarskov B, Rosenberg J, Kehlet H (2001) Characteristics and prediction of early pain after laparoscopic cholecystectomy. Pain 90(3):261–269

    Article  PubMed  CAS  Google Scholar 

  21. Aubrun F, Valade N, Coriat P, Riou B (2008) Predictive factors of severe postoperative pain in the postanesthesia care unit. Anesth Analg 106(5):1535–41, table

    Google Scholar 

  22. Ganz RA, Gostout CJ, Grudem J, Swanson W, Berg T, DeMeester TR (2008) Use of a magnetic sphincter for the treatment of GERD: a feasibility study. Gastrointest Endosc 67(2):287–294

    Article  PubMed  Google Scholar 

  23. Prospect. http://www.postoppain.org. 2008. Ref Type: Internet Communication

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Academic Medical Center, P.O. Box 22660, Amsterdam, 1100 DD, The Netherlands

    Malaika S. Vlug, Mark I. van Berge Henegouwen & Willem A. Bemelman

  2. Department of Surgery, Tergooi Hospitals, Hilversum, The Netherlands

    Jan Wind

  3. Department of Anesthesiology, Academic Medical Center, Amsterdam, The Netherlands

    Jan H. Eshuis

  4. Department of Clinical Epidemiology, Biostatistics, and Bioinformatics, Academic Medical Center, Amsterdam, The Netherlands

    Robert Lindeboom

Authors
  1. Malaika S. Vlug
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jan Wind
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jan H. Eshuis
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Robert Lindeboom
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mark I. van Berge Henegouwen
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Willem A. Bemelman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Willem A. Bemelman.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vlug, M.S., Wind, J., Eshuis, J.H. et al. Feasibility of laparoscopic Nissen fundoplication as a day-case procedure. Surg Endosc 23, 1839–1844 (2009). https://doi.org/10.1007/s00464-008-0277-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-008-0277-2

Keywords

Search

Navigation