Outcome of day-case laparoscopic fundoplication for XXXX .

@entity1 @entity390 @entity148 @entity158 @entity354 @entity1282
AIM: To assess the acceptability, feasibility and results of day-case laparoscopic fundoplication for @entity354 ( @entity354 ) in an university tertiary care center. METHODS: Day-case surgery for @entity354 was proposed routinely to all @entity1 with proven asymptomatic, uncomplicated @entity354 fulfilling predetermined inclusion criteria from September 2003 and January 2007. All @entity1 underwent standard anesthetic, surgical, analgesic and antiemetic protocols. @entity1 had a 360   Nissen-Rosetti laparoscopic fundoplication. Evaluation, according to intent-to-treat analysis, included inclusion criteria, admission to conventional hospital facilities, unplanned post-operative consultation or readmission, complication and reoperation rates as well as @entity1 satisfaction at 12 months, using the validated Visick score and Gastro-Intestinal Quality of Life Index (GIQLI) questionnaire. RESULTS: Of 152 @entity1 undergoing laparoscopic fundoplication for @entity354 during the study period, 49 (32.2%) had day-case procedures. Forty @entity1 (81.6%) were discharged 6 to 8h after operation. Nine @entity1 were converted to in- @entity1 hospitalization because of @entity390 (n=5), inadequate @entity158 control (n=3) or @entity148 (n=1), seven (77.8%) of these were discharged within 23h. Unplanned consultation or hospitalization was necessary in 14.3% and 4.1% of cases respectively, mainly for @entity1282 . The postoperative complication rate was 6.1%. At 12 months, 89.6% of @entity1 were Visick 1 to 3 (excellent to satisfactory results). Reoperation was needed in three cases. @entity1 quality of life, evaluated by GIQLI, was significantly enhanced by surgery (88.9  27.3 preoperatively versus 111.2  24.0 postoperatively, P<0.001). CONCLUSIONS: Day-case laparoscopic fundoplication for @entity354 is feasible and well tolerated in selected @entity1 .
