Ray S
Surgical Physicians, P.C., 4310 Londonderry Road, Suite 3, Harrisburg, PA 17109, USA.
Surg Endosc. 2003 Mar;17(3):378-80. doi: 10.1007/s00464-002-8843-5. Epub 2002 Dec 20.
Recently, several studies were published regarding the safety and feasibility of laparoscopic Nissen fundoplication as an outpatient procedure. However, in these studies the patients were discharged within 24 h and considered to be outpatients. In our study, the author performed 310 procedures on an outpatient basis at a hospital or free-standing surgery center. The study analyzed intraoperative complications, readmission after discharge, length of dysphagia, resumption of regular diet, effectiveness, and the use of antireflux medications after the procedure. The study concluded that with the outpatient procedure, there is no increase in morbidity, mortality, readmission, or long-term effectiveness, as compared with inpatient procedures. Outpatient laparoscopic Nissen fundoplication makes the procedure much more attractive to most patients.
最近，发表了几项关于腹腔镜尼氏胃底折叠术作为门诊手术的安全性和可行性的研究。然而，在这些研究中，患者在24小时内出院并被视为门诊患者。在我们的研究中，作者在医院或独立手术中心对310例患者进行了门诊手术。该研究分析了术中并发症、出院后再入院情况、吞咽困难持续时间、恢复正常饮食情况、有效性以及术后抗反流药物的使用情况。研究得出结论，与住院手术相比，门诊手术在发病率、死亡率、再入院率或长期有效性方面没有增加。门诊腹腔镜尼氏胃底折叠术使该手术对大多数患者更具吸引力。
