Randomized controlled trial of robotic-assisted versus conventional laparoscopic fundoplication: 12 years follow-up.
Gastroesophageal reflux disease
Laparoscopy
Lundell score
Nissen fundoplication
Quality of life
Randomized controlled trial
Robotic-assisted surgery
Symptomatic outcome
Treatment failure
Journal
Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
received:
22
02
2021
accepted:
17
12
2021
pubmed:
26
1
2022
medline:
19
7
2022
entrez:
25
1
2022
Statut:
ppublish
Résumé
Numerous reports have addressed the feasibility and safety of robotic-assisted (RALF) and conventional laparoscopic fundoplication (CLF). Long-term follow-up after direct comparison of these two minimally invasive approaches is scarce. The aim of the present study was to assess long-term disease-specific symptoms and quality of life (QOL) in patients with gastroesophageal reflux disease (GERD) treated with RALF or CLF after 12 years in the randomized ROLAF trial. In the ROLAF trial 40 patients with GERD were randomized to RALF (n = 20) or CLF (n = 20) between August 2004 and December 2005. At 12 years after surgery, all patients were invited to complete the standardized Gastrointestinal Symptom Rating Scale (GSRS) and the Quality of Life in Reflux and Dyspepsia questionnaire (QOLRAD). Failure of treatment was assessed according to Lundell score. The GSRS score was similar for RALF (n = 15) and CLF (n = 15) at 12 years´ follow-up (2.1 ± 0.7 vs. 2.2 ± 1.3, p = 0.740). There was no difference in QOLRAD score (RALF 6.4 ± 1.2; CLF 6.4 ± 1.5, p = 0.656) and the QOLRAD score sub items. Long-term failure of treatment according to the definition by Lundell was not different between RALF and CLF [46% (6/13) vs. 33% (4/12), p = 0.806]. In accordance with previous short-term outcome studies, the long-term results 12 years after surgery showed no difference between RALF and CLF regarding postoperative symptoms, QOL and failure of treatment. Relief of symptoms and patient satisfaction were high after both procedures on the long-term. DRKS00014690 ( https://www.drks.de ).
Identifiants
pubmed: 35076737
doi: 10.1007/s00464-021-08969-y
pii: 10.1007/s00464-021-08969-y
pmc: PMC9283162
doi:
Banques de données
DRKS
['DRKS00014690']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
5627-5634Informations de copyright
© 2022. The Author(s).
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