HPB and Advanced Laparoscopic & Robotic Surgery, Florida Hospital Tampa, Tampa, FL, USA.
Surg Endosc. 2013 Feb;27(2):538-47. doi: 10.1007/s00464-012-2476-0. Epub 2012 Jul 18.
This report details our experience with laparoendoscopic single site (LESS) fundoplication for GERD and provides a comparison to earlier contiguous patients undergoing conventional laparoscopic fundoplication.
With institutional review board approval, symptoms before and after LESS fundoplications and conventional laparoscopic fundoplications were scored by patients. Outcomes after 130 consecutive LESS fundoplications were compared to 130 contiguous consecutive outcomes after conventional laparoscopic fundoplications.
Patients undergoing conventional laparoscopic vs. LESS fundoplication were very similar. There were no conversions to "open" operations and no notable complications with LESS fundoplication. Symptom reduction was broad and dramatic for patients undergoing LESS or conventional laparoscopic fundoplication; 96 % of patients who underwent LESS fundoplication scored their incision as ≥8 (1 = revolting to 10 = beautiful).
Relative to conventional laparoscopy, LESS surgery provides excellent resolution of symptoms without an apparent scar. In comparison to conventional laparoscopy, LESS fundoplication is as safe with similar symptom improvement and superior cosmesis.
本报告详细介绍了我们在胃食管反流病（GERD）中使用经腹腔镜单部位（LESS）胃底折叠术的经验，并与早期接受传统腹腔镜胃底折叠术的连续患者进行了比较。
在机构审查委员会批准的情况下，患者对 LESS 胃底折叠术和传统腹腔镜胃底折叠术前后的症状进行了评分。比较了 130 例连续 LESS 胃底折叠术的结果与 130 例连续传统腹腔镜胃底折叠术的结果。
接受传统腹腔镜与 LESS 胃底折叠术的患者非常相似。没有转换为“开放”手术，LESS 胃底折叠术也没有明显的并发症。接受 LESS 或传统腹腔镜胃底折叠术的患者症状缓解广泛而显著；96%的 LESS 胃底折叠术患者将切口评分≥8（1=令人厌恶至 10=美丽）。
与传统腹腔镜相比，LESS 手术可提供出色的症状缓解效果，而无明显疤痕。与传统腹腔镜相比，LESS 胃底折叠术同样安全，症状改善相似，美容效果更好。
