Laparoscopic Nissen fundoplication is more cost-effective than open Nissen fundoplication in children.

IF 1.5 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2025-01-16 DOI:10.1007/s00383-025-05968-1

Niclas Högberg, Johan Danielson, Amanda Westblom, Elisabet Gustafson

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引用次数: 0

Abstract

Background: Nissen fundoplication is one of the most common surgical procedures for gastroesophageal reflux. Current and previous research comparing laparoscopic Nissen fundoplication (LNF) versus open Nissen fundoplication (ONF) in children suggest ambiguous conclusions. The purpose of this retrospective study was to compare the outcome for children operated with LNF or ONF at our institution and to evaluate the economic aspects.

Methods: 32 consecutive patients (LNF: n = 18, ONF: n = 14) operated with Nissen fundoplication between the years 2011-2017 were included in the study. Data was collected by examination of the patient journals and preoperative, operative, postoperative, and post-discharge parameters were analyzed.

Results: Compared to ONF, the LNF group had shorter operating time (165.2 vs 216.6 min, p < 0.05), shorter overall operating room duration (315.0 vs 334.9 min, p < 0.05) and shorter postoperative hospital stay (3.8 vs 8.1 days, p < 0.05). The LNF group also required less morphine (1.2 vs 1.7 mg/kg, p < 0.05) and the total cost per case was 39% lower (261.1 vs 427.4 kSEK, p < 0.05). No difference was seen in postoperative complications and results.

Conclusion: Laparoscopic Nissen fundoplication is more cost-effective compared to open surgery and reduces postoperative hospital stay and morphine requirements.

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儿童腹腔镜尼森扩底术比开放式尼森扩底术更具成本效益。

背景：尼森底复制术是治疗胃食管反流最常见的手术方法之一。目前和以前的研究比较腹腔镜尼森底扩术（LNF）和开放式尼森底扩术（ONF）在儿童中的应用，得出了模棱两可的结论。本回顾性研究的目的是比较我院接受LNF或ONF手术的儿童的预后，并对其经济方面进行评估。方法：纳入2011-2017年间连续32例（LNF: n = 18, ONF: n = 14）行尼森底吻合手术的患者。通过查阅患者日记收集数据，分析术前、手术、术后和出院后参数。结果：与ONF组相比，LNF组手术时间更短（165.2 min vs 216.6 min）。结论：腹腔镜下Nissen扩底术比开放手术更具成本效益，减少了术后住院时间和吗啡需要量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor