Laparoscopic revisional antireflux and hiatal hernia surgery results in a higher rate of complications and severity at 90 days than primary surgery.
Publication Title
The Journal of thoracic and cardiovascular surgery
Document Type
Article
Publication Date
4-1-2025
Keywords
washington; swedish; swedish thoracic surgery
Abstract
OBJECTIVE: Data on graded complications and their frequency after laparoscopic revisional antireflux and hiatal hernia surgery compared with primary surgery are lacking. We describe 30- and 90-day morbidity using the Clavien-Dindo classification.
METHODS: A total of 298 patients underwent revision surgery between 2003 and 2020 and were propensity matched to primary surgeries (1:2 ratio) based on age, sex, body mass index, American Society of Anesthesiology classification, Los Angeles grade esophagitis, presence of Barrett's, and indication for surgery. Complications were graded using the Clavien-Dindo classification, with the highest grade of complication reported per patient.
RESULTS: After matching, both groups had a majority of female patients, with a median age of 60 years and a median body mass index of 29.5 kg/m
CONCLUSIONS: Revisional surgery results in similar total complications at 30 days, but additional complications can occur out to 90 days.
Area of Special Interest
Digestive Health
Specialty/Research Institute
Swedish Thoracic Surgery
Specialty/Research Institute
Gastroenterology
Specialty/Research Institute
Surgery
DOI
10.1016/j.jtcvs.2024.09.015
