ArticlePediatrics2011
Outcomes of laparoscopic versus open fundoplication in children's hospitals: 2005-2008.
Article in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
10 citing papers in PubMed, 53 citations in OpenAlex.
- Surgical esophageal diseases in children.Turk gogus kalp damar cerrahisi dergisi · 2024Review
- Comprehension of fundamental knowledge about pediatric endoscopic surgery: a cross-sectional study in Japan.Surgical endoscopy · 2023Article
- Enteral formula compared to Nissen-Fundoplication: Data from a retrospective analysis on tolerance, utility, applicability, and safeness in children with neurological diseases.Frontiers in nutrition · 2023Article
- Concomitant gastrostomy tube insertion during laparoscopic Nissen fundoplication for gastro-esophageal reflux disease: analysis of risk factors for fundoplication failure.Surgical endoscopy · 2021Article
- Postoperative Small Bowel Obstruction Following Laparoscopic or Open Fundoplication in Children: A Retrospective Analysis Using a Nationwide Database.World journal of surgery · 2018Article
- Indications for total esophagogastric dissociation in children with gastroesophageal reflux disease.Surgery today · 2018Review
- Outcomes of laparoscopic and open surgery in children with and without congenital heart disease.Journal of pediatric surgery · 2018Article
- Laparoscopy Is Safe in Infants and Neonates with Congenital Heart Disease: A National Study of 3684 Patients.Journal of laparoendoscopic & advanced surgical techniques. Part A · 2016Article
- Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants.Journal of pediatric surgery · 2014Article
- Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation.BMC pediatrics · 2014Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundFundoplication is a common pediatric surgery, but little data comparing the laparoscopic approach with the open approach have been published.
objectiveTo compare infection rates, complication rates, length of stay, and cost for laparoscopic fundoplication versus open fundoplication among pediatric patients and to examine trends in utilization of laparoscopic fundoplication.
methodsWe used the Pediatric Health Information System database to conduct a retrospective study of children (aged <19 years) admitted for a fundoplication between 2005 and 2008. Descriptive characteristics for those undergoing a laparoscopic and open fundoplication were compared. Multivariate regression with random effects specified at the hospital level was used to model the association between laparoscopic fundoplication and the outcomes.
resultsFifty-six percent of 7083 fundoplication admissions had laparoscopic fundoplication. Median length of stay was 4 days for laparoscopic and 10 days for open fundoplication. The median cost of laparoscopic fundoplication was $13 003 versus $22 487 for open fundoplication. Laparoscopic fundoplication was associated with a 24% and 51% reduction in the adjusted odds of infection and surgical complications, respectively. The proportion of fundoplications performed laparoscopically increased from 51% in 2005 to 63% in 2008 (P < .001), but there was no increase in the overall fundoplication rate.
conclusionsIn a large study of children's hospitals, laparoscopic fundoplication was associated with improved outcomes compared with the open procedure, even after adjustment for patient severity. Laparoscopic fundoplication has become the most common form of antireflux surgery in children over 1 year of age, but this has not been associated with an increase in the overall utilization of the fundoplication procedure. These data have important implications for clinical practice and surgical training.
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