Sac excision is essential to adequate laparoscopic repair of XXXX .

@entity1 @entity357 @entity547
BACKGROUND: We compared the incidence of early @entity547 recurrence in nonrandomized but consecutive @entity1 undergoing laparoscopic repair of @entity357 (LRPH) without and with excision of the @entity547 sac. METHODS: LRPH was completed in 55 of 58 @entity1 . In the first 25 @entity1 , the sac was not excised. Total sac excision was performed in the subsequent 30 @entity1 . All @entity1 had crural repair with or without fundoplication, or gastropexy. RESULTS: Mean age of @entity1 was 68 years (range, 34-95). There were three conversions; one @entity1 died postoperatively. Mean operative time was 225 min in the first group and 190 min in the sac excision group. Median length of stay was 2 days (range, 1-15) for both groups. CONCLUSIONS: A precise method of total sac excision simplified dissection. It also ensured complete reduction of the @entity547 and availability of adequate esophageal length. Operative time was not increased, and no subsequent early recurrences were observed (p < 0.05).
