This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Early outcome after laparoscopic and open floppy Nissen fundoplication. BJS 2000; 87: 368-368.
Published: 6th December 2002
Authors: J. I. Ferguson, K. Palmer, S. M. Dresner, S. M. Griffin, S. Paterson‐Brown
Method
All patients undergoing antireflux surgery in both hospitals were recorded prospectively and perioperative data were collected retrospectively from the case records. A postoperative questionnaire was sent to each patient to determine the modified DeMeester score and the impact of surgery on daily activities, which were then analysed anonymously by an independent clinician.
Results
Operating time was significantly longer (median 150 versus 75 min; P < 0·001), but postoperative stay (2 versus 4 days; P < 0·001) and return to normal activities (14 versus 25 days; P < 0·002) were shorter for the laparoscopic approach. There was no difference in gas bloat (both groups median 1·0, range 0–3), dysphagia (median 1·0 versus 0·0, range 0–3) or modified DeMeester score (both groups median 1·0, range 0–9) between the two techniques (median follow‐up 10 and 15 months).