Bolio GA, Vázquez FJA, Cueto GJ

Language: Spanish
References: 12
Page: 86-89
PDF size: 73.26 Kb.

ABSTRACT

Introduction: We report the case of a 34 year-old male patient who underwent a laparoscopic fundoplication and cholecystectomy for severe gastroesophageal reflux for a period of 3 years after a left hepatic resection because of a giant hemangioma of the hepatic left lobe. The cholecystectomy was carried out since the patient was symptomatic and an abdominal ultrasound revealed cholelithiasis. Methods: A laparoscopic Nissen fundoplication and cholecystectomy were performed without trans or postoperative complications with an operative time of 6 hours 30 min. due to massive adhesions to the diaphragm and stomach which made it a lengthy operation. Results: The patient postoperative evolution went excellent being reinstalled to its normal activity 15 days later. He stayed for 6 days at hospital care, tolerating a normal diet 30 days after the procedure. Discussion: The well-known fact that laparoscopic fundoplication markedly decreases postoperative pain, hospital stay as well as the convalescence period with a much quicker return to daily activities, was the reason why the patient and his family insisted in laparoscopic surgery, in spite of the high probabilities of conversion to open surgery. An excellent result was obtained which again proves that previous open or laparoscopic surgery does not contraindicate the realization of a new laparoscopic procedure, with the main drawback that it will increase the surgical time but not the complications, if the procedure is done in a proper and meticulous way.

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