{"title":"Transthoracic Approach to Reoperative Antireflux Surgery","authors":"L. Schaheen, R. Bremner","doi":"10.1177/26345161231178348","DOIUrl":null,"url":null,"abstract":"Reoperative antireflux surgery (ARS) is complex and often needs to be customized to the individual patient. A transthoracic approach is preferred in select patients with concomitant esophageal pathologies or a complex surgical history. The clinical presentation and perioperative evaluation of patients who require reoperative ARS as well as surgical options, the role of the transthoracic approach, and Nissen and Belsey Mark IV fundoplication techniques are discussed in detail. Outcomes associated with the transthoracic approach to reoperative ARS are reviewed. Although less invasive laparoscopic approaches have become more common, the transthoracic approach must remain in the foregut surgeon’s armamentarium.","PeriodicalId":73049,"journal":{"name":"Foregut (Thousand Oaks, Calif.)","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foregut (Thousand Oaks, Calif.)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/26345161231178348","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Reoperative antireflux surgery (ARS) is complex and often needs to be customized to the individual patient. A transthoracic approach is preferred in select patients with concomitant esophageal pathologies or a complex surgical history. The clinical presentation and perioperative evaluation of patients who require reoperative ARS as well as surgical options, the role of the transthoracic approach, and Nissen and Belsey Mark IV fundoplication techniques are discussed in detail. Outcomes associated with the transthoracic approach to reoperative ARS are reviewed. Although less invasive laparoscopic approaches have become more common, the transthoracic approach must remain in the foregut surgeon’s armamentarium.
再手术抗反流手术(ARS)是复杂的,往往需要为个别患者定制。经胸入路是选择合并食管病变或有复杂手术史的患者的首选方法。本文详细讨论了需要再手术ARS患者的临床表现和围手术期评估、手术选择、经胸入路的作用以及Nissen和Belsey Mark IV基底复制技术。回顾经胸入路再手术ARS的相关结果。虽然侵入性较小的腹腔镜入路已经变得越来越普遍,但经胸入路仍然是前肠外科医生的首选。