Respiratory function after laparoscopic and open fundoplication.

M F Olsén; K Josefson; J Dalenbäck; L Lundell; H Lönroth

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PubMed · 9311473

Respiratory function after laparoscopic and open fundoplication.

M F Olsén·K Josefson·J Dalenbäck·L Lundell·H Lönroth

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Abstract

OBJECTIVE: To compare respiratory function in the immediate postoperative period in patients undergoing open or laparoscopic fundoplication. DESIGN: Prospective non-randomised open study. SETTING: University hospital, Sweden. SUBJECTS: A consecutive series of 32 patients who underwent a conventional open fundoplication and a further 25 consecutive patients who had a similar procedure done laparoscopically. MAIN OUTCOME MEASURES: Respiratory function, oxygen saturation, body temperature, analgesic consumption, rate of mobilisation, and postoperative stay in hospital. RESULTS: In the early postoperative period the respiratory function deteriorated less in the laparoscopy group as reflected by higher oxygen saturation (mean (SEM) 95.8 (0.6)% compared with 94.0 (0.6)%) on the first postoperative day (p < 0.05) and less reduction in forced vital capacity and peak expiratory flow (2.3 (0.2) L compared with 1.8 (0.1) L and 279.8 (19.7) L/min compared with 207 (19.8) L/min respectively) (p < 0.05). Patients had significantly less fever after the laparoscopic procedure (37.5 (0.1) C degrees compared with 38.0 (0.1) C degrees) (p < 0.001) and left hospital earlier (median 2 (range 1-5) days compared with 6 (3-9) (p < 0.001). CONCLUSION: All fundoplication procedures impair respiratory function but significantly less if the procedure is done laparoscopically.

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Female Fundoplication Humans Laparoscopy Male Middle Aged Postoperative Period Prospective Studies Respiration Treatment Outcome Vital Capacity Comparative Study Journal Article Research Support, Non-U.S. Gov't

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M F Olsén, K Josefson, J Dalenbäck, L Lundell, H Lönroth. 1997. Respiratory function after laparoscopic and open fundoplication.. https://pubmed.ncbi.nlm.nih.gov/9311473/

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