Langenbeck's
Archives of Surgery
Publisher:
Springer-Verlag Heidelberg
ISSN: 1435-2443
DOI: 10.1007/s00423-003-0437-8
Issue: Online First
Feasibility of surgical technique and evaluation of postoperative quality of life after laparoscopic treatment of intrathoracic stomach
Abstract Background
Because of the risk of life-threatening complications, the discovery of a complete intrathoracic stomach demands urgent surgery with the aim of repositioning the stomach and gastropexy, and secondarily, to improve life quality. In this study the feasibility of surgical technique and postoperative quality of life after laparoscopic treatment of complete intrathoracic stomach has been evaluated. Methods From June 1999 to December 2001 16 patients with an intrathoracic stomach (hiatus hernia Types IIB and III) were treated by laparoscopic techniques, including the repositioning of the stomach, hemi-fundoplication and anterior gastropexy. During the postoperative follow-up the recurrence rate and quality of life (Eypasch index) were evaluated.
Results
All operations were performed laparoscopically without conversion, with a mean operating time of 155 min. Pleural injuries occurred in 31% of patients and pleural effusions in 38%, which required puncture in three cases. Complete follow-up showed no recurrences at a median of 14 months. The median quality of life index was 84.6 preoperatively and had significantly improved to 117.8 after the operation. Conclusion Laparoscopic access for the treatment of intrathoracic stomach represents a minimally invasive and safe treatment option for complete intrathoracic stomach, with a low level of perioperative morbidity and significant improvement in quality of life
Horstmann, R., Klotz A., Classen, C., Palmes, D.
Randomized clinical trial of the influence of intraperitoneal local anaesthesia on pain after laparoscopic surgery
D. Palmes, S. Röttgermann, C. Classen, J. Haier, R. Horstmann
British Journal of Surgery, 2007; 94: 824-832
Download: BJS.pdf
Long-term experience of treating 185 patients with gastroesophageal reflux disease (GERD) by antireflux surgery designed to ensure restoration of the functional morphology of the esophagus.
Horstmann, R., Classen, C., Röttgermann, S., Langer, M., Palmes, D.
Langenbecks Arch Surg 391: 24-31, 2006
Download: Langenbeck-GERD.pdf
Feasibility of surgical technique and evaluation of postoperative quality of life after laparoscopic treatment of intrathoracic stomach.
Horstmann, R., Klotz, A., Classen, C., Palmes, D.
Langenbecks Arch Surg 389: 23-31, 2004
Download: Langenbeck-Upside-down.pdf
