ЛАПАРОСКОПИЧЕСКАЯ РЕФУНДОПЛИКАЦИЯ ИЛИ 63 МЕСЯЦА БЕЗ ИЗЖОГИ

Abstract

Published studies showed, that functional results of surgery for failed antireflux procedures is worse than primary fundoplication. The main reason for this are: Impaired anatomy of the esophagogastric junction, food physiological passage violation; and both these reason create additional difficulties for the surgeon.From 1995 to January 2016, laparoscopic antireflux surgery was performed in 1830 cases, and 1.97% (n-36 patients) of them, were subsequently laparoscopically refunded; In addition, 45 patients with initial operation in other hospitals, were also included in the study. In most cases, n = 37, reason for repeat antireflux surgery was a recurrence of hiatal hernia; «Slippage» syndrome n = 19; Insufficiency of the cuff n = 14; Stenosis in the gastroesophageal transition n = 4, clinical relapse without established anatomical cause n = 7.Disease free for 5 years after previous fundoplication was in 98.8% cases. There was no statistically significant association between the initial modification of the antireflux procedure and the likelihood of relapse. The average follow up time for reoperated patients was 63 months; 76.5% of the reoperated patients are fully satisfied with the functional results.